State,County,Organization Name,Organization Type,Plan Name,Plan Type,Special Needs Plan,Special Needs Plan Type,Benefit Type,Contract ID,Plan ID,Segment ID,National PDP,Part D Basic Premium Below Regional Benchmark?,Part C Premium,Part D Basic Premium,Part D Supplemental Premium,Part D Total Premium,Part D Premium Obligation with Full Premium Assistance,Part D Drug Deductible,Tiers Not Subject to Deductible,Increased Initial Coverage Limit,Extra Coverage in Gap,2024 Star Rating Part C,2024 Star Rating Part D,2024 Overall Star Rating
Alabama,(All Counties),BlueRx (PDP),PDP,BlueRx Enhanced Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S1030,001,0,,,,$101.80 ,$51.90 ,$153.70 ,$112.30 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),BlueRx (PDP),PDP,BlueRx Essential (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S1030,006,0,,,,$72.00 ,$0.00 ,$72.00 ,$30.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),BlueRx (PDP),PDP,BlueRx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S1030,010,0,,,,$105.10 ,$14.40 ,$119.50 ,$78.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Farm Bureau Health Plans,PDP,Farm Bureau Essential Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S2668,005,0,,Yes,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Alabama,(All Counties),Farm Bureau Health Plans,PDP,Farm Bureau Select Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2668,006,0,,,,$41.00 ,$35.70 ,$76.70 ,$35.70 ,$0.00 ,,,,Not Applicable,2.0,Not Applicable
Alabama,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,071,0,Yes,Yes,,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Alabama,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,147,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Alabama,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,215,0,Yes,,,$34.70 ,$44.20 ,$78.90 ,$44.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Alabama,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,024,0,Yes,,,$50.00 ,$0.00 ,$50.00 ,$8.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,025,0,Yes,,,$41.30 ,$62.80 ,$104.10 ,$62.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,187,0,Yes,,,$10.10 ,$2.20 ,$12.30 ,$2.20 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,220,0,Yes,,,$56.80 ,$0.00 ,$56.80 ,$15.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,257,0,Yes,,,$75.30 ,$8.10 ,$83.40 ,$42.00 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,362,0,Yes,,,$5.30 ,$15.40 ,$20.70 ,$15.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,011,0,Yes,,,$73.60 ,$28.70 ,$102.30 ,$60.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Alabama,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,106,0,Yes,Yes,,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Alabama,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,158,0,Yes,,,$78.60 ,$18.10 ,$96.70 ,$55.30 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Alabama,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,191,0,Yes,,,$34.60 ,$5.50 ,$40.10 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Alabama,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,357,0,Yes,Yes,,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,393,0,Yes,,,$52.80 ,$6.80 ,$59.60 ,$18.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alabama,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,011,0,,,,$116.90 ,$0.00 ,$116.90 ,$75.50 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Alabama,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,081,0,,,,$60.40 ,$12.60 ,$73.00 ,$31.60 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Alabama,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,114,0,,,,($0.60),$24.20 ,$23.60 ,$23.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Alabama,Autauga,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Autauga,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Autauga,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Autauga,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Autauga,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Autauga,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Autauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Autauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Autauga,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Autauga,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Autauga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Autauga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Autauga,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Autauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Autauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Autauga,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Autauga,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Autauga,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Autauga,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Autauga,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Autauga,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Autauga,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Autauga,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Autauga,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Autauga,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Autauga,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Autauga,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Autauga,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Autauga,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Autauga,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Autauga,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Autauga,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Autauga,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Autauga,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Autauga,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Baldwin,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Baldwin,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Baldwin,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Baldwin,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Baldwin,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Baldwin,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Baldwin,VIVA Medicare,Local CCP,VIVA Medicare Infirmary Health Advantage (HMO),HMO,No,,Enhanced Alternative,H0154,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Baldwin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Baldwin,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Baldwin,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Baldwin,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Baldwin,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,018,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,019,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Baldwin,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Baldwin,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Baldwin,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Baldwin,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Baldwin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Baldwin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Baldwin,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Baldwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Baldwin,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Baldwin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Baldwin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Baldwin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Baldwin,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Baldwin,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Barbour,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Barbour,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Barbour,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Barbour,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Barbour,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Barbour,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Barbour,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Barbour,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Barbour,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Barbour,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Barbour,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Barbour,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Barbour,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Bibb,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Bibb,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bibb,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bibb,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Bibb,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bibb,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bibb,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bibb,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bibb,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bibb,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bibb,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bibb,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Bibb,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Bibb,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Bibb,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Bibb,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Bibb,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Bibb,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Bibb,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Bibb,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Bibb,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Bibb,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Bibb,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bibb,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Blount,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Blount,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Blount,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Blount,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Blount,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Blount,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Blount,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Blount,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Blount,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Blount,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Blount,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Blount,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Blount,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Blount,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Blount,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Blount,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Blount,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Blount,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Blount,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Blount,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Blount,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Blount,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Blount,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Blount,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Blount,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Blount,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Blount,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Blount,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Blount,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Blount,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Blount,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Blount,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Blount,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Bullock,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Bullock,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Bullock,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Bullock,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Bullock,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Bullock,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Bullock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bullock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bullock,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bullock,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bullock,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Bullock,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Bullock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Bullock,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bullock,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bullock,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bullock,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Bullock,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bullock,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bullock,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Bullock,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Bullock,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Bullock,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Bullock,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Bullock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Bullock,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Bullock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Bullock,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Bullock,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Butler,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Butler,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Butler,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Butler,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Butler,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Butler,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Butler,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Butler,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Butler,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Butler,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Calhoun,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Calhoun,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Calhoun,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Calhoun,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Calhoun,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Calhoun,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Calhoun,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Calhoun,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Calhoun,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Calhoun,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Calhoun,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Calhoun,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Calhoun,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Calhoun,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Calhoun,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Calhoun,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Calhoun,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Calhoun,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Calhoun,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Chambers,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Chambers,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Chambers,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chambers,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Chambers,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chambers,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chambers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chambers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chambers,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chambers,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chambers,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chambers,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Chambers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chambers,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chambers,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chambers,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chambers,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Alabama,Chambers,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Chambers,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Chambers,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Chambers,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Chambers,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Chambers,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Cherokee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cherokee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cherokee,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cherokee,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Cherokee,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cherokee,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cherokee,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cherokee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cherokee,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cherokee,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cherokee,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cherokee,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cherokee,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cherokee,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Cherokee,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Cherokee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Cherokee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Cherokee,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Chilton,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Chilton,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Chilton,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chilton,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Chilton,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chilton,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Chilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chilton,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chilton,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Chilton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Chilton,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Chilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Chilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Chilton,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Chilton,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Chilton,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Chilton,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Chilton,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Chilton,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chilton,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chilton,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Chilton,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Chilton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Chilton,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Chilton,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Chilton,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Chilton,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Chilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Chilton,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Chilton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Chilton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Chilton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Chilton,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Chilton,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Chilton,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Choctaw,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Choctaw,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Choctaw,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Choctaw,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Choctaw,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Choctaw,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Choctaw,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Choctaw,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Choctaw,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Choctaw,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Choctaw,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Choctaw,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Choctaw,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Choctaw,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Choctaw,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Clarke,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Clarke,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clarke,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clarke,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clarke,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clarke,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Clarke,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Clarke,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Clarke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Clarke,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Clay,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Clay,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clay,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Clay,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Clay,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Clay,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Clay,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Clay,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Clay,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clay,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clay,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Clay,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Clay,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Clay,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Clay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Clay,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Clay,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Clay,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Cleburne,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cleburne,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cleburne,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cleburne,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cleburne,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cleburne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Cleburne,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cleburne,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cleburne,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cleburne,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cleburne,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cleburne,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cleburne,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cleburne,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Cleburne,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Cleburne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Cleburne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Cleburne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cleburne,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Coffee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Coffee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coffee,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coffee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coffee,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coffee,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coffee,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coffee,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Coffee,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Coffee,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Coffee,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Coffee,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Coffee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Coffee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Coffee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coffee,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Colbert,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Colbert,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Colbert,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Colbert,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Colbert,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Colbert,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Colbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Colbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Colbert,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Colbert,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Colbert,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Colbert,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Colbert,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Colbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Colbert,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Colbert,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Colbert,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Colbert,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Colbert,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Colbert,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Colbert,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Colbert,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Colbert,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Colbert,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Colbert,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Colbert,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Colbert,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Colbert,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Colbert,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Colbert,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Colbert,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Colbert,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Conecuh,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Conecuh,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Conecuh,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Conecuh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Conecuh,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Conecuh,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Conecuh,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Conecuh,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Conecuh,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Conecuh,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Conecuh,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Conecuh,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Conecuh,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Conecuh,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Conecuh,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Coosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Coosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Coosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coosa,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Coosa,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Coosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Coosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Coosa,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Coosa,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Coosa,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Coosa,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Coosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coosa,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Coosa,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Coosa,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Coosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Coosa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Coosa,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Coosa,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Coosa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Coosa,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Coosa,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Coosa,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Coosa,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Covington,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Covington,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Covington,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Covington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Covington,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Covington,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Covington,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Covington,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Covington,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Covington,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Covington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Covington,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Covington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Covington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Covington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Covington,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Crenshaw,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Crenshaw,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Crenshaw,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Crenshaw,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Crenshaw,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Crenshaw,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Crenshaw,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Crenshaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Crenshaw,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Crenshaw,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Crenshaw,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Crenshaw,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Crenshaw,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Crenshaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Crenshaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Crenshaw,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Crenshaw,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Crenshaw,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Cullman,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cullman,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Cullman,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cullman,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Cullman,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cullman,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Cullman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cullman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cullman,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cullman,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Cullman,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Cullman,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Cullman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Cullman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Cullman,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Cullman,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Cullman,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Cullman,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Cullman,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Cullman,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cullman,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cullman,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cullman,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cullman,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cullman,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Cullman,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Cullman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Cullman,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Cullman,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Cullman,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Cullman,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Cullman,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Cullman,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Cullman,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Dale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Dale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Dale,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Dale,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Dale,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Dale,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Dale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dale,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dale,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Dale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Dale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dale,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dale,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dale,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dale,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Dale,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Dale,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Dale,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Dale,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Dale,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Dale,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Dale,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dale,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Dallas,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Dallas,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dallas,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Dallas,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Dallas,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Dallas,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Dallas,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Dallas,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Dallas,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dallas,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dallas,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Dallas,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Dallas,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Dallas,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Dallas,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Dallas,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Dallas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Dallas,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Dallas,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Dallas,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Dallas,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,DeKalb,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,DeKalb,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,DeKalb,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,DeKalb,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,DeKalb,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,DeKalb,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,DeKalb,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,DeKalb,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,DeKalb,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,DeKalb,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,DeKalb,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,DeKalb,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,DeKalb,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,DeKalb,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,DeKalb,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,DeKalb,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,DeKalb,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,DeKalb,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,DeKalb,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,DeKalb,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Elmore,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Elmore,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Elmore,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Elmore,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Elmore,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Elmore,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Elmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Elmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Elmore,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Elmore,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Elmore,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Elmore,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Elmore,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Elmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Elmore,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Elmore,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Elmore,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Elmore,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Elmore,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Elmore,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Elmore,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Elmore,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Elmore,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Elmore,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Elmore,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Elmore,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Elmore,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Elmore,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Elmore,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Elmore,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Escambia,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Escambia,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Escambia,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Escambia,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Escambia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Escambia,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Escambia,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Escambia,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Escambia,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Escambia,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Escambia,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Escambia,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Escambia,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Escambia,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Escambia,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Escambia,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Escambia,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Escambia,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Escambia,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Escambia,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Etowah,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Etowah,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Etowah,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Etowah,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Etowah,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Etowah,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Etowah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Etowah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Etowah,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Etowah,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Etowah,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Etowah,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Etowah,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Etowah,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Etowah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Etowah,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Etowah,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Etowah,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Etowah,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Etowah,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Etowah,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Etowah,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Etowah,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Etowah,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Etowah,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Etowah,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Etowah,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Etowah,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Etowah,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Etowah,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Etowah,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Etowah,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Etowah,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Etowah,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Fayette,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Fayette,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Fayette,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Fayette,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Fayette,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Fayette,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Fayette,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Fayette,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Fayette,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Fayette,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Fayette,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Fayette,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Fayette,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Fayette,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Fayette,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Franklin,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Franklin,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Franklin,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Franklin,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Franklin,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Franklin,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Franklin,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Franklin,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Franklin,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Franklin,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Franklin,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Franklin,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Franklin,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Franklin,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Geneva,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Geneva,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Geneva,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Geneva,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Geneva,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Geneva,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Geneva,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Geneva,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Geneva,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Geneva,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Geneva,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Geneva,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Geneva,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Geneva,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Geneva,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Geneva,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Geneva,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Geneva,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Geneva,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Geneva,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Geneva,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Geneva,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Geneva,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Geneva,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Geneva,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Geneva,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Geneva,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Greene,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Greene,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Greene,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Greene,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Greene,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Greene,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Greene,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Greene,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Greene,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Greene,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Hale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Hale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Hale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Hale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Hale,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Hale,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Hale,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Hale,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Hale,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Hale,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Hale,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Hale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Hale,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Hale,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Hale,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Henry,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Henry,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Henry,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Henry,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Henry,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Henry,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Henry,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Henry,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Henry,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Henry,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Henry,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Henry,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Henry,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Henry,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Henry,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Houston,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Houston,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Houston,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Houston,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Houston,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Houston,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Houston,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Houston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Houston,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Houston,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Houston,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Houston,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Houston,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Houston,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Houston,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Houston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Houston,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Houston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Houston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Houston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Houston,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Jackson,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Jackson,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Jackson,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Jackson,VIVA Medicare,Local CCP,VIVA Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H0154,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Jackson,VIVA Medicare,Local CCP,VIVA Medicare Extra Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,019,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$530.00 ,,,,5.0,4.5,5.0
Alabama,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Jackson,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jackson,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jackson,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jackson,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jackson,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jackson,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jackson,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Jackson,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Jackson,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Jackson,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Jackson,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jackson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Jefferson,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Jefferson,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Jefferson,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Jefferson,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Jefferson,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Jefferson,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Jefferson,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jefferson,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jefferson,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jefferson,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,018,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,019,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Jefferson,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jefferson,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jefferson,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Jefferson,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Jefferson,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Jefferson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Jefferson,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Jefferson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Lamar,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lamar,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lamar,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lamar,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lamar,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lamar,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lamar,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lamar,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lamar,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Lamar,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Lamar,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Lauderdale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lauderdale,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lauderdale,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lauderdale,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Lauderdale,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lauderdale,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lauderdale,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Lauderdale,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lauderdale,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lauderdale,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lauderdale,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lauderdale,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lauderdale,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lauderdale,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lauderdale,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lauderdale,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lauderdale,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lauderdale,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lauderdale,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lauderdale,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lauderdale,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lauderdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lauderdale,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Lauderdale,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Lauderdale,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lauderdale,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lauderdale,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Lawrence,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lawrence,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lawrence,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lawrence,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Lawrence,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lawrence,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lawrence,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lawrence,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lawrence,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lawrence,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lawrence,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lawrence,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lawrence,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lawrence,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Lawrence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Lawrence,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Lawrence,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lawrence,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Lee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lee,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lee,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lee,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Lee,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lee,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lee,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lee,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lee,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lee,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lee,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Alabama,Lee,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lee,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lee,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lee,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Lee,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Limestone,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Limestone,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Limestone,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Limestone,VIVA Medicare,Local CCP,VIVA Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H0154,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Limestone,VIVA Medicare,Local CCP,VIVA Medicare Extra Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,019,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$530.00 ,,,,5.0,4.5,5.0
Alabama,Limestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Limestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Limestone,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Limestone,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Limestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Limestone,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Limestone,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Limestone,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Limestone,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Limestone,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Limestone,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Limestone,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Limestone,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Limestone,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Limestone,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Limestone,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Limestone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Limestone,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Limestone,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Limestone,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Limestone,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Limestone,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Lowndes,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lowndes,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Lowndes,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lowndes,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Lowndes,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lowndes,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Lowndes,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lowndes,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lowndes,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lowndes,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Lowndes,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lowndes,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lowndes,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lowndes,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lowndes,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lowndes,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Lowndes,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Lowndes,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Lowndes,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Lowndes,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Lowndes,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Lowndes,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Macon,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Macon,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Macon,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Macon,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Macon,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Macon,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Macon,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Macon,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Macon,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Macon,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Macon,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Macon,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Macon,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Macon,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Macon,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Macon,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Macon,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Macon,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Macon,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Macon,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Madison,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Madison,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Madison,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Madison,VIVA Medicare,Local CCP,VIVA Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H0154,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Madison,VIVA Medicare,Local CCP,VIVA Medicare Extra Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,019,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$530.00 ,,,,5.0,4.5,5.0
Alabama,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Madison,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Madison,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Madison,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Madison,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Madison,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Madison,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Madison,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Madison,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Madison,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Madison,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Madison,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Madison,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Madison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Madison,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Madison,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Marengo,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marengo,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marengo,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Marengo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marengo,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marengo,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marengo,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marengo,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marengo,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marengo,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marengo,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marengo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Marengo,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Marengo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Marengo,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Marion,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marion,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marion,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marion,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marion,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marion,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marion,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marion,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Marion,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Marion,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Marshall,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marshall,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Marshall,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Marshall,VIVA Medicare,Local CCP,VIVA Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H0154,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Marshall,VIVA Medicare,Local CCP,VIVA Medicare Extra Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,019,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$530.00 ,,,,5.0,4.5,5.0
Alabama,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marshall,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Marshall,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Marshall,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Marshall,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Marshall,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Marshall,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marshall,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marshall,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Marshall,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marshall,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marshall,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Marshall,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Marshall,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Marshall,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Marshall,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Mobile,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Mobile,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Mobile,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Mobile,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Mobile,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Mobile,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Mobile,VIVA Medicare,Local CCP,VIVA Medicare Infirmary Health Advantage (HMO),HMO,No,,Enhanced Alternative,H0154,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Mobile,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Mobile,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Mobile,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Mobile,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Mobile,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Mobile,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Mobile,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Mobile,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Mobile,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Mobile,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,018,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,019,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Mobile,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Mobile,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Mobile,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Mobile,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Mobile,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Mobile,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Mobile,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Mobile,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Mobile,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Mobile,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Mobile,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Mobile,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Mobile,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Mobile,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Mobile,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Mobile,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Monroe,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Monroe,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Monroe,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Monroe,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Monroe,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Monroe,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Monroe,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Monroe,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Monroe,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Monroe,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Montgomery,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Montgomery,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Montgomery,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Montgomery,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Montgomery,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Montgomery,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Montgomery,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Montgomery,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Montgomery,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Montgomery,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,018,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,019,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Montgomery,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Montgomery,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Montgomery,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Montgomery,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Montgomery,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Montgomery,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Montgomery,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Morgan,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Morgan,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Morgan,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Morgan,VIVA Medicare,Local CCP,VIVA Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H0154,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Morgan,VIVA Medicare,Local CCP,VIVA Medicare Extra Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,019,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$530.00 ,,,,5.0,4.5,5.0
Alabama,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Morgan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Morgan,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Morgan,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Morgan,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Morgan,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Morgan,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Morgan,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Morgan,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Morgan,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Morgan,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Morgan,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Morgan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Morgan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Morgan,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Morgan,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Perry,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Perry,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Perry,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Perry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Perry,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Perry,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Perry,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Perry,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Perry,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Perry,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Perry,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Perry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Perry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Perry,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Pickens,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Pickens,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pickens,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pickens,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pickens,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pickens,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Pickens,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Pickens,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Pickens,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Pickens,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Pickens,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Pickens,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Pike,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Pike,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Pike,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Pike,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Pike,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Pike,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pike,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Pike,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pike,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pike,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Pike,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Pike,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Pike,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Pike,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Pike,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Randolph,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Randolph,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Randolph,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Randolph,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Randolph,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Randolph,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Alabama,Randolph,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Randolph,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Randolph,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Randolph,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Russell,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Russell,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Russell,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Russell,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Russell,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Russell,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Alabama,Russell,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Russell,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Russell,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Russell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Russell,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Russell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Russell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Russell,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Russell,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Shelby,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Shelby,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Shelby,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Shelby,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Shelby,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Shelby,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Shelby,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Shelby,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Alabama,Shelby,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Shelby,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Shelby,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Shelby,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Shelby,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Shelby,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Shelby,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Shelby,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Shelby,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,Shelby,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Shelby,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Shelby,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Shelby,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Shelby,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Shelby,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Shelby,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Shelby,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Shelby,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Shelby,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,St. Clair,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,St. Clair,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,St. Clair,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,St. Clair,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,St. Clair,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,St. Clair,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Alabama,St. Clair,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,St. Clair,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,St. Clair,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,St. Clair,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,St. Clair,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,St. Clair,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,St. Clair,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,St. Clair,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,St. Clair,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H4343,001,0,,,$0.00 ,($10.40),$10.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,2.5,3.0
Alabama,St. Clair,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H4343,003,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,3.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,St. Clair,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,St. Clair,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,St. Clair,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,St. Clair,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,St. Clair,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,St. Clair,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,St. Clair,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,St. Clair,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,St. Clair,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,St. Clair,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,St. Clair,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Sumter,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Sumter,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Sumter,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Sumter,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Sumter,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Sumter,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Sumter,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Sumter,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Sumter,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Sumter,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Sumter,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Sumter,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Sumter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Sumter,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Sumter,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Sumter,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Talladega,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Talladega,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Talladega,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Talladega,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Talladega,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Talladega,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Talladega,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Talladega,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Talladega,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Talladega,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Talladega,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Talladega,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Talladega,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Talladega,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Talladega,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Talladega,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Talladega,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Talladega,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Talladega,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Talladega,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Talladega,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Talladega,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Talladega,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Talladega,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Talladega,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Talladega,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Talladega,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Talladega,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Talladega,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Talladega,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Talladega,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Talladega,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Talladega,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Talladega,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Tallapoosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Tallapoosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Tallapoosa,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tallapoosa,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Tallapoosa,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tallapoosa,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Tallapoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tallapoosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tallapoosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tallapoosa,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tallapoosa,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Tallapoosa,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Tallapoosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tallapoosa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Tallapoosa,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Tallapoosa,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Tallapoosa,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Tuscaloosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Tuscaloosa,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Tuscaloosa,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tuscaloosa,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Tuscaloosa,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tuscaloosa,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Tuscaloosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Tuscaloosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tuscaloosa,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tuscaloosa,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,048,0,,,$11.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,076,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Tuscaloosa,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Tuscaloosa,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Tuscaloosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,216,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,475,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Tuscaloosa,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Tuscaloosa,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Tuscaloosa,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,112,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Tuscaloosa,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Walker,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Walker,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Walker,VIVA Medicare,Local CCP,VIVA Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0154,011,0,,,$72.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Walker,VIVA Medicare,Local CCP,VIVA Medicare Extra Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0154,012,0,,,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$529.00 ,,,,5.0,4.5,5.0
Alabama,Walker,VIVA Medicare,Local CCP,VIVA Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H0154,015,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Walker,VIVA Medicare,Local CCP,VIVA Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H0154,016,0,,,$34.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Alabama,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Walker,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Walker,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Alabama,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,044,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Alabama,Walker,Devoted Health,Local CCP,Devoted CORE Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Walker,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Walker,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,003,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Walker,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,004,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Walker,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Walker,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Walker,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna Preferred AL Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,046,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,047,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,055,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,063,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,077,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Walker,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Walker,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Walker,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Walker,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,171,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Walker,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Walker,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Walker,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Walker,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Walker,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Walker,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Alabama,Walker,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Walker,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Washington,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Washington,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Washington,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Washington,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Washington,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Washington,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Washington,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Washington,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Washington,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Washington,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Washington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Washington,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Wilcox,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Wilcox,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,003,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Wilcox,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Wilcox,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Wilcox,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Wilcox,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Wilcox,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Wilcox,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Wilcox,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,224,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Wilcox,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Wilcox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Wilcox,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alabama,Winston,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H0104,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Winston,Blue Cross and Blue Shield of Alabama,Local CCP,Blue Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H0104,015,0,,,$89.80 ,$69.20 ,$0.00 ,$69.20 ,$27.80 ,$0.00 ,,,Yes,4.5,3.5,4.0
Alabama,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0432,004,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,009,0,,Yes,$0.00 ,$36.20 ,$0.00 ,$36.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0432,013,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Winston,UnitedHealthcare,Local CCP,UHC Complete Care AL-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0432,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Alabama,Winston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,001,0,,,$0.00 ,($7.80),$7.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1848,002,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1848,003,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.0,2.5,2.5
Alabama,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,009,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Alabama,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Alabama,Winston,Devoted Health,Local CCP,Devoted GIVEBACK Alabama (HMO),HMO,No,,Enhanced Alternative,H3080,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Winston,Devoted Health,Local CCP,Devoted DUAL PLUS Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,006,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Winston,Devoted Health,Local CCP,Devoted DUAL Alabama (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3080,007,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,002,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,010,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Alabama,Winston,Simpra Advantage,Local CCP,Simpra Advantage (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H4091,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Winston,Simpra Advantage,Local CCP,Simpra Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4091,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Winston,Simpra Advantage,Local CCP,Simpra Advantage Premier (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H4091,003,0,,,$42.10 ,$55.90 ,$0.00 ,$55.90 ,$14.50 ,$150.00 ,,,,Not enough data available,4.0,Not enough data available
Alabama,Winston,Humana,Local CCP,Humana Value Plus H5216-179 (PPO),Local PPO,No,,Basic Alternative,H5216,179,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Winston,Humana,Local CCP,HumanaChoice H5216-269 (PPO),Local PPO,No,,Enhanced Alternative,H5216,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Winston,Humana,Local CCP,HumanaChoice H5216-368 (PPO),Local PPO,No,,Enhanced Alternative,H5216,368,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Alabama,Winston,Humana,Local CCP,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,370,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,462,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,463,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Alabama,Winston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,467,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Alabama,Winston,Humana,Local CCP,Humana Gold Plus H5619-089 (HMO),HMO,No,,Enhanced Alternative,H5619,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Alabama,Winston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,093,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Alabama,Winston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,002,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6975,003,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,004,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6975,005,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Alabama,Winston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6975,007,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Alabama,Winston,Devoted Health,Local CCP,Devoted CHOICE Alabama (PPO),Local PPO,No,,Enhanced Alternative,H9888,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Alabama,Winston,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Alaska,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,096,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.60 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Alaska,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,165,0,Yes,,,($14.00),$17.50 ,$3.50 ,$3.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Alaska,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,237,0,Yes,,,$36.10 ,$43.50 ,$79.60 ,$43.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Alaska,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,068,0,Yes,,,$43.30 ,$0.00 ,$43.30 ,$4.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,209,0,Yes,,,$7.00 ,$2.90 ,$9.90 ,$2.90 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,210,0,Yes,,,$45.80 ,$57.90 ,$103.70 ,$64.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,227,0,Yes,Yes,,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,279,0,Yes,,,$48.20 ,$13.70 ,$61.90 ,$23.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,384,0,Yes,,,$0.10 ,$14.10 ,$14.20 ,$14.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,033,0,Yes,,,$69.30 ,$32.70 ,$102.00 ,$63.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Alaska,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,116,0,Yes,Yes,,$37.50 ,$0.00 ,$37.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Alaska,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,180,0,Yes,,,$87.00 ,$23.40 ,$110.40 ,$71.60 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Alaska,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,213,0,Yes,,,$46.30 ,$5.50 ,$51.80 ,$13.00 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Alaska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,377,0,Yes,,,$63.30 ,$0.00 ,$63.30 ,$24.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,415,0,Yes,,,$43.80 ,$6.10 ,$49.90 ,$11.10 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Alaska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,033,0,,,,$97.70 ,$0.00 ,$97.70 ,$58.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Alaska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,103,0,,,,$66.80 ,$14.50 ,$81.30 ,$42.50 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Alaska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,136,0,,,,$5.60 ,$18.60 ,$24.20 ,$18.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
American Samoa,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Defined Standard Benefit,S5820,034,0,Yes,,,$55.80 ,$0.00 ,$55.80 ,$55.80 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Arizona,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,092,0,Yes,Yes,,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Arizona,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,134,0,Yes,,,($22.70),$22.70 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not Applicable,4.0,Not Applicable
Arizona,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,231,0,Yes,,,$29.70 ,$49.20 ,$78.90 ,$49.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Arizona,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,056,0,Yes,,,$50.40 ,$0.00 ,$50.40 ,$7.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,057,0,Yes,,,$57.60 ,$54.50 ,$112.10 ,$68.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,203,0,Yes,,,$7.50 ,$2.40 ,$9.90 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,138,0,Yes,Yes,,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,273,0,Yes,,,$61.10 ,$11.90 ,$73.00 ,$29.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,378,0,Yes,,,($4.90),$16.60 ,$11.70 ,$11.70 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,027,0,Yes,,,$67.00 ,$31.20 ,$98.20 ,$55.00 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Arizona,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,146,0,Yes,,,$45.60 ,$0.00 ,$45.60 ,$2.40 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Arizona,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,174,0,Yes,,,$81.60 ,$21.50 ,$103.10 ,$59.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Arizona,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,207,0,Yes,,,$27.30 ,$6.30 ,$33.60 ,$6.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Arizona,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,380,0,Yes,Yes,,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,409,0,Yes,,,$39.60 ,$7.50 ,$47.10 ,$7.50 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arizona,(All Counties),Blue Cross Blue Shield of Arizona (AZ Blue),PDP,Blue MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S6506,001,0,,,,$52.70 ,$0.00 ,$52.70 ,$9.50 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Arizona,(All Counties),Blue Cross Blue Shield of Arizona (AZ Blue),PDP,Blue MedicareRx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S6506,002,0,,,,$118.50 ,$40.10 ,$158.60 ,$115.40 ,$0.00 ,,,,Not Applicable,2.0,Not Applicable
Arizona,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,027,0,,,,$103.20 ,$0.00 ,$103.20 ,$60.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Arizona,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,097,0,,,,$52.30 ,$15.20 ,$67.50 ,$24.30 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Arizona,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,130,0,,,,($5.40),$28.30 ,$22.90 ,$22.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Arizona,Apache,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Apache,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Apache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Apache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Apache,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Apache,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Apache,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Apache,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Apache,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Apache,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Apache,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Apache,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,009,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Apache,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Cochise,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Cochise,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Cochise,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Cochise,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Cochise,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Cochise,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Cochise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Cochise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Cochise,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,148,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Cochise,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,169,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Cochise,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
Arizona,Cochise,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Cochise,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Cochise,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Cochise,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Cochise,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Cochise,Humana,Local CCP,HumanaChoice H5216-224 (PPO),Local PPO,No,,Enhanced Alternative,H5216,224,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Cochise,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Cochise,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Cochise,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Cochise,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,331,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Cochise,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Cochise,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Cochise,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Cochise,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Cochise,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Cochise,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Coconino,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Coconino,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Coconino,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Coconino,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Coconino,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Coconino,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1423,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Coconino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Coconino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,147,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,168,0,,,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Coconino,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Coconino,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Coconino,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Coconino,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Coconino,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,290,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Coconino,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,424,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Arizona,Coconino,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Coconino,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Coconino,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,009,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Coconino,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Coconino,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Coconino,Devoted Health,Local CCP,Devoted CORE Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Coconino,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Coconino,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Gila,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Gila,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Gila,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Gila,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Gila,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Gila,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Gila,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,148,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,169,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,004,0,,Yes,,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4869,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Gold Kidney Health Plan,Local CCP,Gold Circle (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,010,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Gila,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Gila,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Gila,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Gila,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Gila,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Gila,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Gila,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,331,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Gila,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,001,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Gila,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Gila,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Gila,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Gila,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Gila,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Gila,Molina Healthcare of Arizona,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8845,001,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Gila,Molina Healthcare of Arizona,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8845,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Gila,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Graham,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Graham,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Graham,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Graham,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Graham,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Graham,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,148,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Graham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,169,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Graham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
Arizona,Graham,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Graham,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Graham,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Graham,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Graham,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Graham,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Graham,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,035,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arizona,Graham,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Graham,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,331,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Graham,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Graham,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Graham,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Graham,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Graham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Graham,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Greenlee,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Greenlee,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Greenlee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Greenlee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Greenlee,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Greenlee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Greenlee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Greenlee,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Greenlee,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Greenlee,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Greenlee,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Greenlee,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Greenlee,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Greenlee,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Greenlee,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Greenlee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Greenlee,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,La Paz,Humana,Local CCP,Humana Gold Plus H0028-024 (HMO),HMO,No,,Enhanced Alternative,H0028,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,La Paz,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,La Paz,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,La Paz,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,La Paz,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,La Paz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,La Paz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,La Paz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,La Paz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,La Paz,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,La Paz,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,La Paz,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,La Paz,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,La Paz,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,La Paz,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,La Paz,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,La Paz,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,La Paz,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Maricopa,Humana,Local CCP,Humana Gold Plus H0028-023 (HMO),HMO,No,,Enhanced Alternative,H0028,023,0,,,$1.90 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$225.00 ,1,,,4.0,4.0,4.0
Arizona,Maricopa,Humana,Local CCP,Humana Gold Plus H0028-027 (HMO),HMO,No,,Enhanced Alternative,H0028,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Arizona,Maricopa,Humana,Local CCP,Humana Gold Plus H0028-028 (HMO),HMO,No,,Enhanced Alternative,H0028,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,4.0,4.0,4.0
Arizona,Maricopa,Humana,Local CCP,Humana Gold Plus H0028-052 (HMO),HMO,No,,Enhanced Alternative,H0028,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Maricopa,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,Blue Best Life Plus (HMO),HMO,No,,Enhanced Alternative,H0302,001,0,,,$0.00 ,$44.50 ,$0.50 ,$45.00 ,$1.80 ,$0.00 ,,,,3.5,4.5,4.0
Arizona,Maricopa,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,Blue Best Life Classic (HMO),HMO,No,,Enhanced Alternative,H0302,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
Arizona,Maricopa,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Maricopa,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,062,0,,Yes,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Maricopa,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Maricopa,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,064,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0354,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-002P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,044,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,005,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Arizona,Maricopa,Wellpoint,Local CCP,Wellpoint I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1423,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Maricopa,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1423,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H1822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H1822,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Embrace (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1822,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Maricopa,SCAN Desert Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1822,006,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,2.0,3.0,2.5
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Maricopa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,079,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Maricopa,Wellpoint,Local CCP,Wellpoint I Carelon Home Care 2 (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2593,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Maricopa,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3443,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Maricopa,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3443,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Maricopa,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3443,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Arizona,Maricopa,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3443,006,0,,Yes,$0.00 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,eternalHealth,Local CCP,eternalHealth Horizon (HMO),HMO,No,,Enhanced Alternative,H3551,001,0,,,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,eternalHealth,Local CCP,eternalHealth Grand Give Back (HMO),HMO,No,,Enhanced Alternative,H3551,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Prime Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,156,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Prime Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,004,0,,Yes,,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4869,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Gold Kidney Health Plan,Local CCP,Gold Circle (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,010,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,BlueJourney (PPO),Local PPO,No,,Enhanced Alternative,H5140,001,0,,,$0.00 ,$31.70 ,$28.30 ,$60.00 ,$28.30 ,$0.00 ,,,,3.5,4.0,3.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-034 (PPO),Local PPO,No,,Enhanced Alternative,H5216,034,0,,,$52.50 ,$72.50 ,$0.00 ,$72.50 ,$29.30 ,$225.00 ,1,,,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-224 (PPO),Local PPO,No,,Enhanced Alternative,H5216,224,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-265 (PPO),Local PPO,No,,Enhanced Alternative,H5216,265,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,338,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Arizona,Maricopa,Humana,Local CCP,HumanaChoice H5216-371 (PPO),Local PPO,No,,Enhanced Alternative,H5216,371,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Maricopa,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,363,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Maricopa,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,001,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Maricopa,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Maricopa,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Maricopa,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Maricopa,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Maricopa,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Prime (HMO),HMO,No,,Enhanced Alternative,H5843,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Maricopa,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Maricopa,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H7273,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Maricopa,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Maricopa,Devoted Health,Local CCP,Devoted CORE Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Maricopa,Devoted Health,Local CCP,Devoted PREMIUM Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,002,0,,,$0.00 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Maricopa,Devoted Health,Local CCP,Devoted BE WELL Arizona (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8173,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Maricopa,Devoted Health,Local CCP,Devoted BE WELL PLUS Arizona (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H8173,014,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Arizona,Maricopa,Devoted Health,Local CCP,Devoted GIVEBACK Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Maricopa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Maricopa,Molina Healthcare of Arizona,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8845,001,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Maricopa,Molina Healthcare of Arizona,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8845,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Maricopa,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H9614,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Maricopa,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Mohave,Humana,Local CCP,Humana Gold Plus H0028-023 (HMO),HMO,No,,Enhanced Alternative,H0028,023,0,,,$1.90 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$225.00 ,1,,,4.0,4.0,4.0
Arizona,Mohave,Humana,Local CCP,Humana Gold Plus H0028-024 (HMO),HMO,No,,Enhanced Alternative,H0028,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Mohave,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Mohave,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Mohave,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Mohave,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Mohave,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Mohave,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Mohave,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Mohave,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,147,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,168,0,,,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Mohave,Humana,Local CCP,HumanaChoice H5216-034 (PPO),Local PPO,No,,Enhanced Alternative,H5216,034,0,,,$52.50 ,$72.50 ,$0.00 ,$72.50 ,$29.30 ,$225.00 ,1,,,4.5,4.0,4.5
Arizona,Mohave,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Mohave,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Mohave,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Mohave,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Mohave,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,290,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Mohave,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,424,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Arizona,Mohave,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Mohave,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Mohave,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,009,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Mohave,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Mohave,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Navajo,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Navajo,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Navajo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Navajo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Navajo,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Navajo,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Navajo,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Navajo,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Navajo,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Navajo,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Navajo,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Navajo,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,009,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Navajo,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Pima,Humana,Local CCP,Humana Gold Plus H0028-021 (HMO),HMO,No,,Enhanced Alternative,H0028,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Arizona,Pima,Humana,Local CCP,Humana Gold Plus H0028-052 (HMO),HMO,No,,Enhanced Alternative,H0028,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pima,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,Blue Best Life Classic (HMO),HMO,No,,Enhanced Alternative,H0302,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
Arizona,Pima,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pima,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pima,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,062,0,,Yes,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Pima,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pima,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,064,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0354,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pima,UnitedHealthcare,Local CCP,UHC Complete Care AZ-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pima,UnitedHealthcare,Local CCP,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,005,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1423,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1423,002,0,,,$0.00 ,($13.30),$13.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Medicare Advantage 1 (HMO),HMO,No,,Enhanced Alternative,H1423,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Premium Savings (HMO),HMO,No,,Enhanced Alternative,H1423,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1423,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H1822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H1822,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Embrace (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1822,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pima,SCAN Desert Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1822,006,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,2.0,3.0,2.5
Arizona,Pima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Pima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,078,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint I Carelon Home Care 2 (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2593,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Lung Care 2 (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint Chronic Care 2 (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,006,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Wellpoint,Local CCP,Wellpoint I Carelon Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,040,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3443,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Pima,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3443,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Pima,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3443,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Arizona,Pima,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3443,006,0,,Yes,$0.00 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,167,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,004,0,,Yes,,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4869,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Gold Kidney Health Plan,Local CCP,Gold Circle (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,010,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pima,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pima,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,BlueJourney (PPO),Local PPO,No,,Enhanced Alternative,H5140,002,0,,,$0.00 ,$37.10 ,$22.90 ,$60.00 ,$22.90 ,$0.00 ,,,,3.5,4.0,3.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-034 (PPO),Local PPO,No,,Enhanced Alternative,H5216,034,0,,,$52.50 ,$72.50 ,$0.00 ,$72.50 ,$29.30 ,$225.00 ,1,,,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-224 (PPO),Local PPO,No,,Enhanced Alternative,H5216,224,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-265 (PPO),Local PPO,No,,Enhanced Alternative,H5216,265,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,338,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Arizona,Pima,Humana,Local CCP,HumanaChoice H5216-371 (PPO),Local PPO,No,,Enhanced Alternative,H5216,371,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Pima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,035,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pima,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,363,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pima,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Pima,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Pima,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Pima,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Prime (HMO),HMO,No,,Enhanced Alternative,H5843,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Pima,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pima,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H7273,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pima,Devoted Health,Local CCP,Devoted GIVEBACK Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Pima,Devoted Health,Local CCP,Devoted CORE Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Pima,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Pima,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H9614,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Pima,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Pinal,Humana,Local CCP,Humana Gold Plus H0028-021 (HMO),HMO,No,,Enhanced Alternative,H0028,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Arizona,Pinal,Humana,Local CCP,Humana Gold Plus H0028-052 (HMO),HMO,No,,Enhanced Alternative,H0028,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pinal,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,Blue Best Life Plus (HMO),HMO,No,,Enhanced Alternative,H0302,001,0,,,$0.00 ,$44.50 ,$0.50 ,$45.00 ,$1.80 ,$0.00 ,,,,3.5,4.5,4.0
Arizona,Pinal,Blue Cross Blue Shield of Arizona (AZ Blue),Local CCP,Blue Best Life Classic (HMO),HMO,No,,Enhanced Alternative,H0302,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
Arizona,Pinal,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pinal,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pinal,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pinal,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,062,0,,Yes,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Pinal,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pinal,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,064,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0354,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0354,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-002P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pinal,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,044,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Arizona,Pinal,UnitedHealthcare,Local CCP,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,005,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Arizona,Pinal,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1423,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pinal,SCAN Desert Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H1822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pinal,SCAN Desert Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pinal,SCAN Desert Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1822,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pinal,SCAN Desert Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H1822,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Pinal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,079,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Pinal,Humana,Local CCP,Humana Gold Plus H2463-001 (HMO),HMO,No,,Enhanced Alternative,H2463,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,4.5,3.5,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,145,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,166,0,,,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4869,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,004,0,,Yes,,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4869,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Gold Kidney Health Plan,Local CCP,Gold Circle (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H4869,010,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pinal,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-034 (PPO),Local PPO,No,,Enhanced Alternative,H5216,034,0,,,$52.50 ,$72.50 ,$0.00 ,$72.50 ,$29.30 ,$225.00 ,1,,,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-224 (PPO),Local PPO,No,,Enhanced Alternative,H5216,224,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-265 (PPO),Local PPO,No,,Enhanced Alternative,H5216,265,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,338,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Arizona,Pinal,Humana,Local CCP,HumanaChoice H5216-371 (PPO),Local PPO,No,,Enhanced Alternative,H5216,371,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pinal,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,363,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Pinal,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,001,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Pinal,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Pinal,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Pinal,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Pinal,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Pinal,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Prime (HMO),HMO,No,,Enhanced Alternative,H5843,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Pinal,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Pinal,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H7273,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pinal,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Pinal,Devoted Health,Local CCP,Devoted CORE Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Pinal,Devoted Health,Local CCP,Devoted PREMIUM Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,002,0,,,$0.00 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Pinal,Devoted Health,Local CCP,Devoted BE WELL Arizona (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8173,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Arizona,Pinal,Devoted Health,Local CCP,Devoted BE WELL PLUS Arizona (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H8173,014,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Arizona,Pinal,Devoted Health,Local CCP,Devoted GIVEBACK Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Pinal,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Pinal,Molina Healthcare of Arizona,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8845,001,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Pinal,Molina Healthcare of Arizona,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8845,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Arizona,Pinal,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Santa Cruz,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Santa Cruz,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Santa Cruz,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Santa Cruz,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Santa Cruz,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Santa Cruz,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Santa Cruz,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1423,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3443,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3443,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3443,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Arizona,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3443,006,0,,Yes,$0.00 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,148,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,169,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
Arizona,Santa Cruz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Santa Cruz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Santa Cruz,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Santa Cruz,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Santa Cruz,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Santa Cruz,Humana,Local CCP,HumanaChoice H5216-224 (PPO),Local PPO,No,,Enhanced Alternative,H5216,224,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Santa Cruz,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Santa Cruz,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,035,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arizona,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,331,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Santa Cruz,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Santa Cruz,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Santa Cruz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Prime (HMO),HMO,No,,Enhanced Alternative,H5843,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Santa Cruz,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Santa Cruz,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Santa Cruz,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H7273,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Santa Cruz,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H9614,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Santa Cruz,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Yavapai,Humana,Local CCP,Humana Gold Plus H0028-023 (HMO),HMO,No,,Enhanced Alternative,H0028,023,0,,,$1.90 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$225.00 ,1,,,4.0,4.0,4.0
Arizona,Yavapai,Humana,Local CCP,Humana Gold Plus H0028-028 (HMO),HMO,No,,Enhanced Alternative,H0028,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,4.0,4.0,4.0
Arizona,Yavapai,Humana,Local CCP,Humana Gold Plus H0028-062 (HMO),HMO,No,,Enhanced Alternative,H0028,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Arizona,Yavapai,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Yavapai,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Yavapai,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,004,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Yavapai,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Yavapai,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Yavapai,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Yavapai,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Yavapai,UnitedHealthcare,Local CCP,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,005,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Arizona,Yavapai,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1423,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arizona,Yavapai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Yavapai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Sunrise Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,147,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,168,0,,,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4835,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Yavapai,Humana,Local CCP,HumanaChoice H5216-034 (PPO),Local PPO,No,,Enhanced Alternative,H5216,034,0,,,$52.50 ,$72.50 ,$0.00 ,$72.50 ,$29.30 ,$225.00 ,1,,,4.5,4.0,4.5
Arizona,Yavapai,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Yavapai,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Yavapai,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yavapai,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yavapai,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yavapai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,036,0,,,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$4.80 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,290,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Yavapai,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,424,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Arizona,Yavapai,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Yavapai,BCBSAZ Health Choice,Local CCP,BCBSAZ Health Choice Pathway (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5587,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.0,4.5,3.5
Arizona,Yavapai,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,009,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Yavapai,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Yavapai,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Yavapai,Devoted Health,Local CCP,Devoted CORE Arizona (HMO),HMO,No,,Enhanced Alternative,H8173,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,4.0,4.0
Arizona,Yavapai,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8553,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,3.0,2.5
Arizona,Yavapai,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arizona,Yuma,UnitedHealthcare,Local CCP,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,025,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arizona,Yuma,UnitedHealthcare,Local CCP,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0321,002,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Yuma,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0351,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Yuma,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0351,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Arizona,Yuma,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0351,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Arizona,Yuma,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0351,061,0,,Yes,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$525.00 ,1,,,3.0,3.5,3.0
Arizona,Yuma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,063,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Yuma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AZ-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arizona,Yuma,Humana,Local CCP,Humana Gold Plus H2463-001 (HMO),HMO,No,,Enhanced Alternative,H2463,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,4.5,3.5,4.0
Arizona,Yuma,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,007,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Yuma,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4931,015,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Arizona,Yuma,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Arizona,Yuma,Humana,Local CCP,Humana Value Plus H5216-197 (PPO),Local PPO,No,,Basic Alternative,H5216,197,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arizona,Yuma,Humana,Local CCP,HumanaChoice H5216-198 (PPO),Local PPO,No,,Enhanced Alternative,H5216,198,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yuma,Humana,Local CCP,HumanaChoice H5216-263 (PPO),Local PPO,No,,Enhanced Alternative,H5216,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yuma,Humana,Local CCP,HumanaChoice H5216-335 (PPO),Local PPO,No,,Enhanced Alternative,H5216,335,0,,,$60.20 ,$46.80 ,$0.00 ,$46.80 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arizona,Yuma,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,184,0,,,$33.80 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Yuma,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,331,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arizona,Yuma,Mercy Care Advantage,Local CCP,Mercy Care Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5580,005,0,,Yes,$0.00 ,$43.20 ,$0.00 ,$43.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Arizona,Yuma,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5590,008,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arizona,Yuma,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Prime (HMO),HMO,No,,Enhanced Alternative,H5843,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Arizona,Yuma,Devoted Health,Local CCP,Devoted CHOICE Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Yuma,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Arizona (PPO),Local PPO,No,,Enhanced Alternative,H6586,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arizona,Yuma,Banner Medicare Advantage,Local CCP,Banner Medicare Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H7273,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Arizona,Yuma,Humana,Regional CCP,HumanaChoice R7220-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7220,002,0,,,$27.90 ,$47.10 ,$0.00 ,$47.10 ,$3.90 ,$540.00 ,,,,3.5,3.0,3.0
Arkansas,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,073,0,Yes,Yes,,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Arkansas,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,153,0,Yes,,,($14.10),$15.70 ,$1.60 ,$1.60 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Arkansas,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,222,0,Yes,,,$34.00 ,$44.90 ,$78.90 ,$44.90 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Arkansas,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,038,0,Yes,Yes,,$37.50 ,$0.00 ,$37.50 ,$1.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,107,0,Yes,,,$34.10 ,$61.50 ,$95.60 ,$61.50 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,194,0,Yes,,,$8.10 ,$1.80 ,$9.90 ,$1.80 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,225,0,Yes,Yes,,$36.40 ,$0.00 ,$36.40 ,$0.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,264,0,Yes,,,$82.50 ,$8.10 ,$90.60 ,$54.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,369,0,Yes,,,$2.50 ,$16.70 ,$19.20 ,$16.70 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Arkansas Blue Medicare,PDP,BlueMedicare Premier Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5795,002,0,,,,$44.60 ,$79.30 ,$123.90 ,$88.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),Arkansas Blue Medicare,PDP,BlueMedicare Value Rx (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5795,003,0,,,,$40.30 ,$0.00 ,$40.30 ,$4.60 ,$495.00 ,1,,,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,018,0,Yes,,,$70.00 ,$29.20 ,$99.20 ,$63.50 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,141,0,Yes,,,$40.40 ,$0.00 ,$40.40 ,$4.70 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,165,0,Yes,,,$74.90 ,$24.80 ,$99.70 ,$64.00 ,$100.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,198,0,Yes,,,$26.20 ,$6.80 ,$33.00 ,$6.80 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Arkansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,364,0,Yes,,,$51.80 ,$0.00 ,$51.80 ,$16.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,400,0,Yes,,,$38.70 ,$7.20 ,$45.90 ,$10.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Arkansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,018,0,,,,$37.70 ,$0.00 ,$37.70 ,$2.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Arkansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,088,0,,,,$64.40 ,$10.40 ,$74.80 ,$39.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Arkansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,121,0,,,,($3.60),$26.40 ,$22.80 ,$22.80 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Arkansas,Arkansas,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Arkansas,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Arkansas,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Arkansas,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Arkansas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Arkansas,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Arkansas,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Arkansas,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Arkansas,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Arkansas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Arkansas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Arkansas,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Arkansas,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Arkansas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Arkansas,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Arkansas,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Arkansas,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Arkansas,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Arkansas,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Arkansas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Arkansas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Arkansas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Arkansas,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Arkansas,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Arkansas,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Arkansas,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Arkansas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Arkansas,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Arkansas,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Arkansas,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Arkansas,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Arkansas,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Arkansas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Arkansas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Arkansas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Ashley,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Ashley,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Ashley,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Ashley,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Ashley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Ashley,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Ashley,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Ashley,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Ashley,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Ashley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Ashley,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Ashley,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ashley,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Ashley,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ashley,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ashley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Ashley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Ashley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Ashley,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Ashley,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Ashley,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ashley,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Ashley,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ashley,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Ashley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ashley,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Ashley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Ashley,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Ashley,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Ashley,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Ashley,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ashley,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Ashley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ashley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Ashley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Baxter,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Baxter,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Baxter,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Baxter,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Baxter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Baxter,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Baxter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Baxter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Baxter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Baxter,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Baxter,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Baxter,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Baxter,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Baxter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Baxter,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Baxter,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Baxter,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Baxter,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Baxter,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Baxter,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Baxter,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Baxter,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Benton,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Benton,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Benton,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Benton,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Benton,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Benton,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Benton,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Benton,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Benton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Benton,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Benton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Benton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Benton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Benton,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Benton,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Benton,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Benton,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Benton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Benton,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Benton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Benton,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Benton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Benton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Benton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Benton,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Benton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Benton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Benton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Benton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Boone,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Boone,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Boone,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Boone,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Boone,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Boone,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Boone,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Boone,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Boone,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Boone,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Boone,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Boone,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Boone,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Boone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Boone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Boone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Bradley,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Bradley,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Bradley,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Bradley,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Bradley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Bradley,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Bradley,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Bradley,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Bradley,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Bradley,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Bradley,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Bradley,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Bradley,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Bradley,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Bradley,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Bradley,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Bradley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Bradley,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Bradley,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Bradley,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Bradley,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Bradley,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Bradley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Bradley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Bradley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Calhoun,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Calhoun,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Calhoun,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Calhoun,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Calhoun,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Calhoun,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Calhoun,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Calhoun,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Calhoun,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Calhoun,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Calhoun,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Calhoun,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Calhoun,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Calhoun,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Calhoun,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Calhoun,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Calhoun,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Calhoun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Calhoun,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Calhoun,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Calhoun,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Calhoun,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Calhoun,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Calhoun,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Carroll,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Carroll,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Carroll,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Carroll,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Carroll,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Carroll,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Carroll,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Carroll,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Carroll,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Carroll,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Carroll,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Carroll,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Carroll,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Carroll,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Carroll,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Carroll,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Carroll,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Carroll,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Carroll,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Carroll,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Carroll,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Carroll,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Carroll,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Carroll,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Carroll,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Carroll,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Carroll,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Carroll,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Carroll,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Carroll,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Carroll,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Carroll,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Chicot,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Chicot,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Chicot,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Chicot,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Chicot,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Chicot,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Chicot,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Chicot,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Chicot,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Chicot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Chicot,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Chicot,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Chicot,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Chicot,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Chicot,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Chicot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Chicot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Chicot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Chicot,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Chicot,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Chicot,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Chicot,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Chicot,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Chicot,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Chicot,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Clark,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Clark,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Clark,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Clark,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Clark,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Clark,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Clark,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Clark,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Clark,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clark,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Clark,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clark,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Clark,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Clark,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Clark,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Clark,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Clark,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Clark,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Clark,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Clark,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Clark,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Clark,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Clark,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Clark,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Clark,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Clark,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Clark,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clark,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Clark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Clark,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Clay,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Clay,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Clay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Clay,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Clay,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Clay,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Clay,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Clay,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Clay,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clay,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Clay,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clay,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Clay,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Clay,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Clay,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Clay,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Clay,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Clay,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Clay,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Clay,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Clay,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Clay,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clay,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Clay,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cleburne,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cleburne,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cleburne,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cleburne,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Cleburne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cleburne,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Cleburne,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Cleburne,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cleburne,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cleburne,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleburne,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleburne,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Cleburne,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleburne,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cleburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Cleburne,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Cleburne,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Cleburne,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleburne,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Cleburne,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Cleburne,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Cleburne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleburne,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Cleburne,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Cleburne,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Cleburne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Cleburne,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Cleburne,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Cleburne,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Cleburne,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Cleburne,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleburne,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Cleburne,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Cleburne,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleburne,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cleburne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cleveland,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cleveland,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Cleveland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cleveland,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Cleveland,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Cleveland,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cleveland,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cleveland,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cleveland,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleveland,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Cleveland,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleveland,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Cleveland,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Cleveland,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Cleveland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Cleveland,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Cleveland,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Cleveland,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Cleveland,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleveland,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Cleveland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cleveland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cleveland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Columbia,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Columbia,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Columbia,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Columbia,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Columbia,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Columbia,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Columbia,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Columbia,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Columbia,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Columbia,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Columbia,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Columbia,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Columbia,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Columbia,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Columbia,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Columbia,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Columbia,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Columbia,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Columbia,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Columbia,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Columbia,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Columbia,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Columbia,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Conway,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Conway,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Conway,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Conway,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Conway,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Conway,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Conway,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Conway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Conway,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Conway,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Conway,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Conway,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Conway,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Conway,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Conway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Conway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Conway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Conway,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Conway,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Conway,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Conway,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Conway,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Conway,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Conway,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Conway,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Conway,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Conway,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Conway,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Conway,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Conway,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Conway,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Conway,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Conway,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Conway,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Conway,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Conway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Conway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Conway,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Craighead,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Craighead,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Craighead,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Craighead,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Craighead,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Craighead,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Craighead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Craighead,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Craighead,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Craighead,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Craighead,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Craighead,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Craighead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Craighead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Craighead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Craighead,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Craighead,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Craighead,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Craighead,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Craighead,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Craighead,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Craighead,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Craighead,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Craighead,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Craighead,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Craighead,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Craighead,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Craighead,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Craighead,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Craighead,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Craighead,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Craighead,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Craighead,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Craighead,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Crawford,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Crawford,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Crawford,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Crawford,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Crawford,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Crawford,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Crawford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Crawford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Crawford,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Crawford,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crawford,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Crawford,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Crawford,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Crawford,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Crawford,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Crawford,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Crawford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Crawford,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crawford,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Crawford,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Crawford,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Crittenden,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Crittenden,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Crittenden,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Crittenden,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Crittenden,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Crittenden,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Crittenden,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Crittenden,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Crittenden,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Crittenden,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Crittenden,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Crittenden,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Crittenden,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Crittenden,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Crittenden,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Crittenden,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Crittenden,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Crittenden,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Crittenden,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Crittenden,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Crittenden,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Crittenden,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Crittenden,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Crittenden,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Crittenden,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crittenden,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Crittenden,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Crittenden,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Crittenden,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cross,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cross,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Cross,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cross,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Cross,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Cross,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Cross,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Cross,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cross,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Cross,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Cross,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Cross,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Cross,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Cross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cross,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Cross,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cross,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Cross,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cross,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Cross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Cross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Cross,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Cross,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Cross,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Cross,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Cross,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Cross,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Cross,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Cross,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Cross,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Cross,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cross,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Cross,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Cross,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Cross,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Dallas,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Dallas,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Dallas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Dallas,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Dallas,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Dallas,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Dallas,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Dallas,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Dallas,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Dallas,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Dallas,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Dallas,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Dallas,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Dallas,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Dallas,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Dallas,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Dallas,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Dallas,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Dallas,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Dallas,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Dallas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Desha,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Desha,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Desha,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Desha,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Desha,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Desha,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Desha,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Desha,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Desha,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Desha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Desha,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Desha,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Desha,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Desha,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Desha,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Desha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Desha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Desha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Desha,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Desha,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Desha,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Desha,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Desha,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Desha,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Desha,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Drew,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Drew,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Drew,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Drew,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Drew,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Drew,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Drew,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Drew,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Drew,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Drew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Drew,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Drew,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Drew,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Drew,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Drew,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Drew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Drew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Drew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Drew,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Drew,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Drew,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Drew,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Drew,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Drew,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Drew,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Drew,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Drew,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Drew,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Faulkner,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Faulkner,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Faulkner,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Faulkner,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Faulkner,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Faulkner,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H2663,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Faulkner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Faulkner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Faulkner,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Faulkner,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Faulkner,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Faulkner,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Faulkner,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Faulkner,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Faulkner,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,010,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Faulkner,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,011,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Faulkner,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Faulkner,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Faulkner,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Faulkner,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Faulkner,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Faulkner,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Faulkner,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Faulkner,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Faulkner,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Faulkner,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Faulkner,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Faulkner,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Faulkner,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Franklin,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Franklin,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Franklin,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Franklin,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Franklin,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Franklin,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Franklin,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Franklin,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Franklin,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Franklin,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Franklin,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Franklin,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Franklin,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Franklin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Franklin,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Franklin,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Franklin,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Franklin,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Franklin,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Franklin,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Fulton,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Fulton,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Fulton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Fulton,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Fulton,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Fulton,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Fulton,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Fulton,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Fulton,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Fulton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Fulton,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Fulton,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Fulton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Fulton,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Fulton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Fulton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Fulton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Fulton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Fulton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Fulton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Garland,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Garland,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Garland,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Garland,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Garland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Garland,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Garland,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Garland,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Garland,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Garland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Garland,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H2663,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Garland,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Garland,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Garland,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Garland,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Garland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Garland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Garland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Garland,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Garland,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Garland,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Garland,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Garland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Garland,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Garland,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Garland,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Garland,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Garland,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Garland,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Garland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,010,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Garland,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,011,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Garland,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Garland,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Garland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Garland,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Garland,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Garland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Garland,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Garland,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Garland,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Garland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Garland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Garland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Grant,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Grant,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Grant,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Grant,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Grant,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Grant,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Grant,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Grant,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Grant,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Grant,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Grant,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Grant,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Grant,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Grant,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Grant,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Grant,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Grant,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Grant,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Grant,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Grant,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Grant,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Grant,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Grant,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Grant,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Grant,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Grant,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Grant,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Grant,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Grant,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Grant,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Grant,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Grant,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Grant,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Grant,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Grant,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Grant,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Greene,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Greene,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Greene,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Greene,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Greene,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Greene,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Greene,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Greene,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Greene,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Greene,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Greene,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Greene,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Greene,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Greene,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Greene,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Greene,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Greene,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Greene,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Greene,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Greene,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Greene,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Greene,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Greene,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Greene,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Hempstead,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Hempstead,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Hempstead,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Hempstead,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Hempstead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Hempstead,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Hempstead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Hempstead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Hempstead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Hempstead,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Hempstead,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Hempstead,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hempstead,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Hempstead,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hempstead,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Hempstead,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hempstead,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Hempstead,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Hempstead,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Hempstead,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Hempstead,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Hempstead,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Hempstead,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hempstead,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Hempstead,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hempstead,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Hempstead,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Hot Spring,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Hot Spring,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Hot Spring,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Hot Spring,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Hot Spring,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Hot Spring,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Hot Spring,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hot Spring,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Hot Spring,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Hot Spring,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Hot Spring,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Hot Spring,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Hot Spring,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Hot Spring,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Hot Spring,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Hot Spring,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Hot Spring,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Hot Spring,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Hot Spring,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Hot Spring,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Hot Spring,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Hot Spring,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Hot Spring,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Hot Spring,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Hot Spring,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Hot Spring,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Hot Spring,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Hot Spring,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hot Spring,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Hot Spring,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Hot Spring,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Hot Spring,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Howard,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Howard,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Howard,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Howard,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Howard,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Howard,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Howard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Independence,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Independence,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Independence,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Independence,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Independence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Independence,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Independence,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Independence,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Independence,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Independence,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Independence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Independence,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Independence,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Independence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Independence,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Independence,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Independence,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Independence,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Independence,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Independence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Independence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Independence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Independence,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Independence,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Independence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Independence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Independence,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Independence,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Independence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Independence,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Independence,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Independence,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Independence,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Independence,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Independence,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Independence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Independence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Independence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Izard,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Izard,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Izard,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Izard,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Izard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Izard,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Izard,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Izard,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Izard,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Izard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Izard,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Izard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Izard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Izard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Izard,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Izard,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Izard,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Izard,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Izard,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Izard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Izard,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Izard,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Izard,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Izard,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Izard,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Izard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Izard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Izard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Jackson,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Jackson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Jackson,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Jackson,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Jackson,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Jackson,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Jackson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jackson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Jackson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jackson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Jackson,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Jackson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Jackson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Jackson,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Jackson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jackson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Jackson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Jefferson,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Jefferson,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Jefferson,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Jefferson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jefferson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Jefferson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jefferson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Jefferson,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Jefferson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Jefferson,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Jefferson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Jefferson,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Jefferson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jefferson,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Jefferson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Johnson,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Johnson,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Johnson,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Johnson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Johnson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Johnson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Johnson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Johnson,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Johnson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Johnson,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Johnson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Johnson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Johnson,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Johnson,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Johnson,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Johnson,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Johnson,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Johnson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Johnson,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Johnson,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Johnson,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Johnson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Johnson,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Johnson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Johnson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lafayette,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lafayette,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lafayette,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lafayette,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lafayette,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Lafayette,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lafayette,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Lafayette,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Lafayette,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lafayette,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Lafayette,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lafayette,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lafayette,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lawrence,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lawrence,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Lawrence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lawrence,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Lawrence,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Lawrence,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lawrence,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lawrence,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lawrence,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lawrence,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Lawrence,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lawrence,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Lawrence,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Lawrence,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lawrence,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lawrence,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Lawrence,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lawrence,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lawrence,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Lawrence,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Lawrence,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Lawrence,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Lawrence,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Lawrence,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lawrence,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Lawrence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lawrence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lawrence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lee,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lee,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Lee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lee,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Lee,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Lee,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lee,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lee,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lee,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lee,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Lee,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lee,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Lee,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Lee,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Lee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Lee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lee,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Lee,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Lee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Lee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Lee,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lee,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lincoln,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lincoln,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Lincoln,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Lincoln,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lincoln,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lincoln,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lincoln,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Lincoln,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lincoln,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Lincoln,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Lincoln,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lincoln,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lincoln,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Lincoln,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Lincoln,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Lincoln,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lincoln,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lincoln,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Little River,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Little River,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Little River,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Little River,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Little River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Little River,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Little River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Little River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Little River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Little River,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Little River,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Little River,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Little River,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Little River,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Little River,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Little River,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Little River,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Little River,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Little River,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Little River,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Little River,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Little River,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Little River,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Logan,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Logan,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Logan,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Logan,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Logan,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Logan,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Logan,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Logan,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Logan,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Logan,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Logan,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Logan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Logan,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Logan,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Logan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Logan,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Logan,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Logan,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Logan,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Logan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Logan,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Logan,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Logan,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Logan,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Logan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Logan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Logan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Lonoke,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lonoke,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Lonoke,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Lonoke,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lonoke,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Lonoke,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Lonoke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Lonoke,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Lonoke,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Lonoke,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Lonoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lonoke,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Lonoke,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Lonoke,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lonoke,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Lonoke,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lonoke,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Lonoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lonoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Lonoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Lonoke,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Lonoke,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Lonoke,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lonoke,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lonoke,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Lonoke,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Lonoke,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Lonoke,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Lonoke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Lonoke,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Lonoke,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Lonoke,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Lonoke,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Lonoke,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Lonoke,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lonoke,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Lonoke,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Lonoke,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Lonoke,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Lonoke,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Madison,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Madison,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Madison,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Madison,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Madison,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Madison,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Madison,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Madison,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Madison,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Madison,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Madison,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Madison,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Madison,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Madison,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Madison,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Madison,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Madison,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Madison,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Madison,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Madison,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Madison,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Madison,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Marion,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Marion,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Marion,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Marion,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Marion,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Marion,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Marion,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Marion,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Marion,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Marion,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Marion,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Marion,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Marion,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Marion,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Marion,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Marion,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Marion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Miller,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Miller,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Miller,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Miller,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Miller,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Miller,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Miller,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Miller,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Miller,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Miller,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Miller,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Miller,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Miller,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Miller,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Miller,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Mississippi,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Mississippi,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Mississippi,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Mississippi,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Mississippi,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Mississippi,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Mississippi,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Mississippi,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Mississippi,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Mississippi,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Mississippi,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Mississippi,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Mississippi,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Mississippi,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Mississippi,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Mississippi,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Mississippi,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Mississippi,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Mississippi,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Mississippi,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Mississippi,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Mississippi,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Mississippi,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Mississippi,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Mississippi,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Mississippi,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Mississippi,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Mississippi,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Mississippi,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Mississippi,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Mississippi,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Mississippi,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Mississippi,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Mississippi,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Mississippi,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Monroe,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Monroe,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Monroe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Monroe,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Monroe,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Monroe,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Monroe,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Monroe,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Monroe,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Monroe,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Monroe,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Monroe,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Monroe,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Monroe,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Monroe,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Monroe,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Monroe,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Monroe,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Monroe,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Monroe,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Montgomery,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Montgomery,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Montgomery,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Montgomery,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Montgomery,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Montgomery,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Montgomery,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Montgomery,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Montgomery,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Montgomery,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Montgomery,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Montgomery,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Montgomery,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Montgomery,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Montgomery,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Montgomery,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Montgomery,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Nevada,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Nevada,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Nevada,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Nevada,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Nevada,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Nevada,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Nevada,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Nevada,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Nevada,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Nevada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Nevada,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Nevada,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Nevada,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Nevada,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Nevada,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Nevada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Nevada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Nevada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Nevada,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Nevada,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Nevada,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Nevada,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Nevada,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Nevada,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Nevada,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Nevada,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Nevada,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Nevada,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Nevada,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Nevada,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Nevada,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Newton,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Newton,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Newton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Newton,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Newton,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Newton,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Newton,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Newton,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Newton,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Newton,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Newton,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Newton,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Newton,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Newton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Newton,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Newton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Newton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Newton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Newton,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Newton,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Newton,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Newton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Newton,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Newton,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Newton,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Newton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Newton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Newton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Newton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Newton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Ouachita,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Ouachita,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Ouachita,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Ouachita,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Ouachita,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Ouachita,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Ouachita,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Ouachita,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Ouachita,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Ouachita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Ouachita,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Ouachita,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ouachita,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Ouachita,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ouachita,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Ouachita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Ouachita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Ouachita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Ouachita,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Ouachita,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Ouachita,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Ouachita,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ouachita,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Ouachita,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ouachita,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Ouachita,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Ouachita,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Ouachita,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Ouachita,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Ouachita,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Ouachita,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Ouachita,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Ouachita,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ouachita,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Ouachita,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Ouachita,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Ouachita,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Perry,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Perry,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Perry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Perry,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Perry,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Perry,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Perry,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Perry,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Perry,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Perry,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Perry,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Perry,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Perry,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Perry,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Perry,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Perry,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Perry,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Perry,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Perry,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Perry,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Perry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Perry,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Perry,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Perry,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Perry,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Perry,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Perry,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Perry,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Perry,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Perry,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Perry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Perry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Perry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Phillips,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Phillips,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Phillips,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Phillips,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Phillips,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Phillips,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Phillips,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Phillips,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Phillips,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Phillips,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Phillips,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Phillips,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Phillips,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Phillips,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Phillips,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Phillips,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Phillips,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Phillips,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Phillips,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Phillips,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Phillips,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Phillips,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Phillips,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pike,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Pike,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Pike,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Pike,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Pike,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Pike,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pike,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pike,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Pike,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Pike,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pike,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Pike,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pike,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Pike,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Pike,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pike,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Pike,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Pike,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Pike,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Pike,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Pike,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pike,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pike,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Poinsett,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Poinsett,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Poinsett,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Poinsett,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Poinsett,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Poinsett,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Poinsett,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Poinsett,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Poinsett,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Poinsett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Poinsett,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Poinsett,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Poinsett,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Poinsett,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Poinsett,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Poinsett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Poinsett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Poinsett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Poinsett,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Poinsett,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Poinsett,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Poinsett,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Poinsett,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Poinsett,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Poinsett,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Poinsett,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Poinsett,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Poinsett,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Poinsett,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Poinsett,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Poinsett,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Poinsett,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Poinsett,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Poinsett,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Poinsett,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Poinsett,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Polk,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Polk,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Polk,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Polk,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Polk,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Polk,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Polk,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Polk,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Polk,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Polk,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Polk,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Polk,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Polk,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Polk,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Polk,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Polk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pope,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pope,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pope,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pope,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pope,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pope,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pope,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Pope,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pope,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pope,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Pope,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Pope,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Pope,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Pope,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Pope,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Pope,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pope,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Pope,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Pope,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Pope,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Pope,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Pope,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Pope,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pope,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pope,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Pope,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pope,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pope,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Prairie,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Prairie,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Prairie,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Prairie,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Prairie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Prairie,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Prairie,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Prairie,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Prairie,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Prairie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Prairie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Prairie,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Prairie,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Prairie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Prairie,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Prairie,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Prairie,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Prairie,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Prairie,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Prairie,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Prairie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Prairie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Prairie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Prairie,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Prairie,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Prairie,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Prairie,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Prairie,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Prairie,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Prairie,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Prairie,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Prairie,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Prairie,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Prairie,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Prairie,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Prairie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Prairie,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Prairie,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Prairie,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Prairie,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Prairie,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Prairie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Pulaski,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Pulaski,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pulaski,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Pulaski,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Pulaski,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H2663,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pulaski,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Pulaski,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pulaski,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Pulaski,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Pulaski,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Pulaski,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Pulaski,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Pulaski,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Pulaski,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Pulaski,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,010,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,011,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Pulaski,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Pulaski,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Pulaski,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Arkansas,Pulaski,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Pulaski,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Pulaski,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pulaski,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Pulaski,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Pulaski,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Randolph,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Randolph,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Randolph,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Randolph,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Randolph,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Randolph,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Randolph,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Randolph,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Randolph,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Randolph,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Randolph,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Randolph,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Randolph,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Randolph,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Randolph,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Randolph,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Randolph,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Randolph,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Randolph,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Randolph,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Randolph,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Randolph,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Randolph,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Randolph,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Randolph,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Randolph,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Randolph,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Saline,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Saline,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Saline,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Saline,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Saline,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Saline,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Saline,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Saline,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H2663,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Saline,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Saline,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Saline,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Saline,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Saline,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Saline,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Saline,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Saline,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Saline,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Saline,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Saline,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Saline,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Saline,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Saline,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Saline,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Saline,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,010,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,011,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Saline,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Saline,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Saline,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Saline,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Saline,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Saline,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Saline,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Saline,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Saline,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Saline,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Saline,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Saline,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Saline,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Scott,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Scott,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Scott,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Scott,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Scott,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Scott,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Scott,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Scott,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Scott,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Scott,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Scott,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Scott,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Scott,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Scott,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Scott,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Scott,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Scott,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Scott,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Scott,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Scott,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Scott,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Scott,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Scott,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Scott,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Scott,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Scott,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Scott,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Searcy,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Searcy,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Searcy,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Searcy,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Searcy,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Searcy,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Searcy,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Searcy,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Searcy,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Searcy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Searcy,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Searcy,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Searcy,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Searcy,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Searcy,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Searcy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Searcy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Searcy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Searcy,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Searcy,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Searcy,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Searcy,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Searcy,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Searcy,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Searcy,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Searcy,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Searcy,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Searcy,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Searcy,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Searcy,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Searcy,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Searcy,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Searcy,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sebastian,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sebastian,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sebastian,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sebastian,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sebastian,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sebastian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sebastian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sebastian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Sebastian,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Sebastian,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Sebastian,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Sebastian,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Sebastian,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Sebastian,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Sebastian,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sebastian,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Sebastian,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Sebastian,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Sebastian,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Sebastian,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Sebastian,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Sebastian,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sebastian,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Sebastian,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Sebastian,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sebastian,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sebastian,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sevier,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sevier,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sevier,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Sevier,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sevier,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Sevier,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sevier,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Sevier,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Sevier,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Sevier,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Sevier,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Sevier,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Sevier,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sevier,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Sevier,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sevier,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sevier,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sharp,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sharp,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Sharp,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Sharp,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Sharp,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Sharp,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Sharp,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Sharp,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sharp,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Sharp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sharp,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Sharp,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Sharp,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Sharp,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Sharp,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Sharp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sharp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Sharp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Sharp,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Sharp,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Sharp,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Sharp,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Sharp,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Sharp,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Sharp,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Sharp,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sharp,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Sharp,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Sharp,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Sharp,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,St. Francis,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,St. Francis,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,St. Francis,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,St. Francis,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,St. Francis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,St. Francis,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,St. Francis,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,St. Francis,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,St. Francis,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,St. Francis,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,St. Francis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,St. Francis,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,St. Francis,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,St. Francis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,St. Francis,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,St. Francis,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,St. Francis,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,St. Francis,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,St. Francis,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,St. Francis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,St. Francis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,St. Francis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,St. Francis,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,St. Francis,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,St. Francis,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,St. Francis,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,St. Francis,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,St. Francis,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,St. Francis,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,St. Francis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,St. Francis,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,St. Francis,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,St. Francis,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,St. Francis,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,St. Francis,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,St. Francis,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,St. Francis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,St. Francis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,St. Francis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Stone,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Stone,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Stone,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Stone,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Stone,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Stone,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Stone,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Stone,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Stone,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Stone,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Stone,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Stone,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Stone,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Stone,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Stone,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Stone,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Stone,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Stone,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Stone,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Stone,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Stone,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Stone,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Stone,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Stone,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Stone,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Stone,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Stone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Stone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Stone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Union,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Union,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Union,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Union,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Union,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Union,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Union,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Union,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Union,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Union,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Union,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Union,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Union,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Union,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Union,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Union,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Union,Humana,Local CCP,Humana Gold Plus H5619-069 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,069,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Arkansas,Union,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Union,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Union,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Union,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Union,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Union,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Union,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Union,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Union,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Van Buren,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Van Buren,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Van Buren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Van Buren,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Van Buren,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Van Buren,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Van Buren,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Van Buren,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Van Buren,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Van Buren,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Van Buren,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Van Buren,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Van Buren,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Van Buren,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Van Buren,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Van Buren,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Van Buren,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Van Buren,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Van Buren,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Van Buren,Humana,Local CCP,Humana Gold Plus H5619-122 (HMO),HMO,No,,Enhanced Alternative,H5619,122,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Arkansas,Van Buren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Van Buren,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Van Buren,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Van Buren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Van Buren,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Van Buren,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Van Buren,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Van Buren,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Van Buren,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Van Buren,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Van Buren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Washington,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Washington,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Washington,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Washington,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Washington,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Washington,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Washington,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Washington,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Washington,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Washington,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Washington,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Washington,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Washington,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Washington,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Washington,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Washington,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,007,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Washington,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Arkansas,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,123,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Arkansas,Washington,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Washington,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Washington,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Washington,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Washington,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Washington,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,White,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0270,001,0,,,$0.00 ,($6.40),$6.40 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Arkansas,White,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0270,002,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Arkansas,White,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,White,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,White,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,White,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,White,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,White,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,White,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,White,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,White,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,White,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,White,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,White,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,White,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,White,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H1608,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,White,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,White,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,White,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,White,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,White,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,White,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,White,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,White,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,6,,Yes,$56.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,White,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,White,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,White,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,White,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,White,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,White,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,White,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,White,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,White,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,White,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,White,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,White,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Woodruff,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Woodruff,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Woodruff,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Woodruff,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Woodruff,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Woodruff,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Woodruff,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Woodruff,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Woodruff,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Woodruff,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Woodruff,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Woodruff,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Woodruff,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Woodruff,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Woodruff,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Woodruff,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Woodruff,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Woodruff,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Woodruff,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Woodruff,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Woodruff,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Woodruff,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Woodruff,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Woodruff,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Woodruff,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,1,,Yes,$16.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Woodruff,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Woodruff,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Woodruff,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Woodruff,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Woodruff,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Woodruff,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Woodruff,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Woodruff,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Woodruff,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Woodruff,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Woodruff,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Yell,UnitedHealthcare,Local CCP,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,023,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Yell,UnitedHealthcare,Local CCP,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,024,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Arkansas,Yell,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,033,0,,Yes,$0.00 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Yell,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Basic Alternative,H1416,041,0,,Yes,$0.00 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
Arkansas,Yell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1416,043,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Arkansas,Yell,Wellcare,Local CCP,Wellcare No Premium Preferred (HMO),HMO,No,,Enhanced Alternative,H1416,055,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Arkansas,Yell,Wellcare,Local CCP,Wellcare Giveback Dividend (HMO),HMO,No,,Enhanced Alternative,H1416,064,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Arkansas,Yell,Tribute Health Plans,Local CCP,Tribute Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1587,001,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Yell,Tribute Health Plans,Local CCP,Tribute Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H1587,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,075,0,,,$0.00 ,$28.80 ,$0.00 ,$28.80 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,076,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,077,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Arkansas,Yell,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H1608,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Arkansas,Yell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Yell,UnitedHealthcare,Local CCP,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Arkansas,Yell,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Yell,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2722,003,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Arkansas,Yell,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,004,0,,,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Yell,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2722,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
Arkansas,Yell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Yell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,061,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Arkansas,Yell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC AR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Arkansas,Yell,Arkansas Blue Medicare,Local CCP,BlueMedicare Saver Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Arkansas,Yell,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier Choice (PPO),Local PPO,No,,Enhanced Alternative,H3554,007,0,,,$35.10 ,$13.90 ,$0.00 ,$13.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Arkansas,Yell,Arkansas Blue Medicare,PFFS,BlueMedicare Preferred (PFFS),PFFS,No,,Basic Alternative,H4213,017,5,,Yes,$26.40 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Yell,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,039,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Yell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Arkansas,Yell,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,081,0,,Yes,$0.00 ,$31.60 ,$0.00 ,$31.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Arkansas,Yell,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,219,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,361,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Arkansas,Yell,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Arkansas,Yell,Arkansas Blue Medicare,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H6158,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,4.0,3.5
Arkansas,Yell,Arkansas Blue Medicare,Local CCP,BlueMedicare Independence (HMO),HMO,No,,Basic Alternative,H6158,003,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Arkansas,Yell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,102,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Arkansas,Yell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9630,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9630,005,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$290.00 ,1,,,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9630,008,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,010,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,011,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H9630,013,0,,,$29.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Arkansas,Yell,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9630,014,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Yell,Arkansas Blue Medicare,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H9699,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Arkansas,Yell,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Arkansas,Yell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Arkansas,Yell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Arkansas,Yell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
California,(All Counties),Blue Shield of California,PDP,Blue Shield Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S2468,003,0,,,,$168.90 ,$0.00 ,$168.90 ,$127.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
California,(All Counties),Blue Shield of California,PDP,Blue Shield Rx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2468,004,0,,,,$157.90 ,$30.50 ,$188.40 ,$147.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
California,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,094,0,Yes,Yes,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
California,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,163,0,Yes,,,($17.70),$18.10 ,$0.40 ,$0.40 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
California,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,235,0,Yes,,,$40.40 ,$42.20 ,$82.60 ,$42.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
California,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem Blue Cross MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,087,0,,,,$100.60 ,$0.00 ,$100.60 ,$59.60 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
California,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem Blue Cross MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,088,0,,,,$108.10 ,$24.60 ,$132.70 ,$91.70 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
California,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,064,0,Yes,,,$55.20 ,$0.00 ,$55.20 ,$14.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
California,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,065,0,Yes,,,$64.70 ,$51.30 ,$116.00 ,$75.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
California,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,207,0,Yes,,,$16.50 ,$2.10 ,$18.60 ,$2.10 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
California,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,158,0,Yes,Yes,,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
California,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,277,0,Yes,,,$97.00 ,$8.90 ,$105.90 ,$64.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
California,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,382,0,Yes,,,($0.10),$15.90 ,$15.80 ,$15.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
California,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,031,0,Yes,,,$94.10 ,$27.50 ,$121.60 ,$80.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
California,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,114,0,Yes,,,$75.20 ,$0.00 ,$75.20 ,$34.20 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
California,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,178,0,Yes,,,$98.90 ,$30.30 ,$129.20 ,$88.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
California,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,211,0,Yes,,,$54.90 ,$4.10 ,$59.00 ,$18.00 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
California,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,376,0,Yes,,,$89.80 ,$0.00 ,$89.80 ,$48.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
California,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,413,0,Yes,,,$76.50 ,$3.90 ,$80.40 ,$39.40 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
California,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,031,0,,,,$112.30 ,$0.00 ,$112.30 ,$71.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
California,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,101,0,,,,$89.50 ,$10.80 ,$100.30 ,$59.30 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
California,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,134,0,,,,($1.50),$27.20 ,$25.70 ,$25.70 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
California,Alameda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Alameda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Alameda,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,041,0,,,$18.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,076,0,,,$0.00 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Alameda,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",HMO,No,,Enhanced Alternative,H0524,032,0,,,$28.90 ,$41.10 ,$0.00 ,$41.10 ,$0.10 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Alameda (HMO),HMO,No,,Enhanced Alternative,H0524,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Alameda,UnitedHealthcare,Local CCP,UHC Canopy Health Medicare Advantage CA-007P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,188,0,,,$15.70 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Alameda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-035P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,235,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Alameda,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Alameda,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Alameda,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Alameda,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Alameda,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Alameda,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Alameda,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Alameda,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Alameda,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Alameda,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health Harmony (HMO),HMO,No,,Enhanced Alternative,H3815,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health Select (HMO),HMO,No,,Enhanced Alternative,H3815,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Alameda,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Alameda,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Alameda,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,007,0,,Yes,$0.00 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Alameda,Blue Shield of California,Local CCP,Blue Shield Select (PPO),Local PPO,No,,Enhanced Alternative,H4937,001,0,,,$22.00 ,$20.50 ,$14.50 ,$35.00 ,$14.50 ,$0.00 ,,,Yes,3.0,4.5,3.5
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,008,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,Alameda,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,SCAN Health Plan,Local CCP,SCAN MyChoice (HMO),HMO,No,,Enhanced Alternative,H5425,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Alameda,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Alameda,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Alameda,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Alameda,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Alameda,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Alameda,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Alameda,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Alameda,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Alameda,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Alameda,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Alpine,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Alpine,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Alpine,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Alpine,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Amador,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Amador,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Amador,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Amador,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Amador,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Amador,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Amador,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,009,0,,,$100.90 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Amador,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0562,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Amador,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Amador,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Amador,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Amador,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Amador,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Amador,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Amador,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,370,0,,,$18.20 ,$8.80 ,$0.00 ,$8.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Amador,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Amador,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7360,001,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,3.0,Not enough data available
California,Amador,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Amador,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Butte,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Butte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Butte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Butte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Butte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Butte,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Calaveras,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Calaveras,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Calaveras,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Calaveras,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Colusa,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,002,0,,,$18.90 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Colusa,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Contra Costa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Contra Costa,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO),HMO,No,,Enhanced Alternative,H0524,033,0,,,$20.10 ,$44.90 ,$0.00 ,$44.90 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Contra Costa,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Basic Contra Costa (HMO),HMO,No,,Enhanced Alternative,H0524,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Contra Costa,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Contra Costa,UnitedHealthcare,Local CCP,UHC Canopy Health Medicare Advantage CA-008P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,189,0,,,$0.40 ,$42.60 ,$0.00 ,$42.60 ,$1.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Contra Costa,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Contra Costa,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Contra Costa,Brand New Day,Local CCP,Brand New Day Classic Care III Plan (HMO),HMO,No,,Enhanced Alternative,H0838,046,0,,,$26.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Contra Costa,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,047,0,,,$7.00 ,$48.00 ,$0.00 ,$48.00 ,$7.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Contra Costa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Contra Costa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Contra Costa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Contra Costa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Contra Costa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Contra Costa,Humana,Local CCP,Humana Gold Plus H5619-029 (HMO),HMO,No,,Enhanced Alternative,H5619,029,0,,,$25.50 ,$45.50 ,$0.00 ,$45.50 ,$4.50 ,$545.00 ,1,,,4.0,3.5,4.0
California,Contra Costa,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H5619,138,0,,,$17.10 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
California,Contra Costa,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Contra Costa,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Contra Costa,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Contra Costa,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Contra Costa,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Del Norte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Del Norte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Del Norte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Del Norte,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,El Dorado,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,El Dorado,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,El Dorado,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,El Dorado,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,El Dorado,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,El Dorado,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,El Dorado,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,El Dorado,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,El Dorado,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,El Dorado,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,El Dorado,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,El Dorado,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,370,0,,,$18.20 ,$8.80 ,$0.00 ,$8.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,El Dorado,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,El Dorado,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,El Dorado,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,078,0,,,$0.00 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Fresno,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,038,0,,,$19.40 ,$50.60 ,$0.00 ,$50.60 ,$9.60 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Fresno,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Fresno,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,035,0,,,$19.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Fresno,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Fresno,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-024P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Fresno,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,056,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Fresno,Wellcare by Health Net,Local CCP,Wellcare No Premium Ruby (HMO),HMO,No,,Enhanced Alternative,H0562,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Fresno,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Fresno,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Fresno,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Fresno,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Fresno,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Fresno,Wellcare by Health Net,Local CCP,Wellcare CalViva Health Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,007,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Fresno,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Fresno,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3815,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Fresno,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Fresno,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Fresno,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4471,002,0,,,$0.00 ,($6.80),$6.80 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Fresno,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,098,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Fresno,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Fresno,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Fresno,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Fresno,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Fresno,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Fresno,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Fresno,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Fresno,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,332,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Fresno,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Fresno,Humana,Local CCP,Humana Gold Plus H5619-012 (HMO),HMO,No,,Enhanced Alternative,H5619,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Fresno,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Fresno,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Fresno,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Fresno,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Fresno,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Fresno,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Fresno,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Fresno,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Fresno,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Glenn,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,002,0,,,$18.90 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Glenn,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Glenn,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Glenn,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Glenn,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Glenn,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Humboldt,Western Health Advantage,Local CCP,Western Health Advantage MyCare Compass (HMO),HMO,No,,Enhanced Alternative,H2782,004,0,,,$20.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Humboldt,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Humboldt,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Humboldt,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Humboldt,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Imperial,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,Imperial,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,2,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,Imperial,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Imperial,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Imperial,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Imperial,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Imperial,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Imperial,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,002,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Imperial,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Imperial,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Imperial,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Imperial,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Imperial,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Imperial,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,Imperial,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,Inyo,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Inyo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Inyo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Inyo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Inyo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Inyo,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Kern,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0036 (PPO),Local PPO,No,,Enhanced Alternative,H0294,044,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Kern,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Kern,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Kern (HMO),HMO,No,,Enhanced Alternative,H0524,035,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Kern,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Kern (HMO),HMO,No,,Enhanced Alternative,H0524,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Kern,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Kern,UnitedHealthcare,Local CCP,UHC Complete Care CA-027P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Kern,UnitedHealthcare,Local CCP,UHC Complete Care CA-04AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,242,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Kern,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Kern,Wellcare by Health Net,Local CCP,Wellcare No Premium Ruby (HMO),HMO,No,,Enhanced Alternative,H0562,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Kern,Wellcare by Health Net,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0562,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,Kern,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Kern,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Kern,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Kern,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Kern,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Kern,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Kern,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,003,0,,Yes,$0.00 ,$0.80 ,$0.00 ,$0.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4982,018,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Kern,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kern,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kern,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Kern,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kern,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,333,0,,,$49.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Kern,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,421,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Kern,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Kern,Humana,Local CCP,Humana Gold Plus H5619-116 (HMO),HMO,No,,Enhanced Alternative,H5619,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Kern,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Kern,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Kern,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Kern,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P5 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,005,0,,Yes,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Kings,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,038,0,,,$19.40 ,$50.60 ,$0.00 ,$50.60 ,$9.60 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Kings,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,035,0,,,$19.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Kings,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Kings,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,056,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Kings,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Kings,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Kings,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Kings,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Kings,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Kings,Wellcare by Health Net,Local CCP,Wellcare CalViva Health Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,007,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Kings,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Kings,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Kings,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4471,002,0,,,$0.00 ,($6.80),$6.80 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Kings,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kings,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kings,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Kings,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Kings,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Kings,Humana,Local CCP,Humana Gold Plus H5619-015 (HMO),HMO,No,,Enhanced Alternative,H5619,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Kings,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Kings,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Kings,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Kings,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Lake,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Lake,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,002,0,,,$18.90 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Lassen,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0026 (PPO),Local PPO,No,,Enhanced Alternative,H0294,034,0,,,$8.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0026 (PPO),Local PPO,No,,Enhanced Alternative,H0294,034,0,,,$8.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0029 (PPO),Local PPO,No,,Enhanced Alternative,H0294,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0029 (PPO),Local PPO,No,,Enhanced Alternative,H0294,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield 65 Plus Plan 2 (HMO),HMO,No,,Enhanced Alternative,H0504,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield 65 Plus Plan 2 (HMO),HMO,No,,Enhanced Alternative,H0504,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield Enhanced (HMO),HMO,No,,Enhanced Alternative,H0504,049,0,,,$45.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield Enhanced (HMO),HMO,No,,Enhanced Alternative,H0504,049,0,,,$45.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",HMO,No,,Enhanced Alternative,H0524,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",HMO,No,,Enhanced Alternative,H0524,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage LA, Orange Value (HMO)",HMO,No,,Enhanced Alternative,H0524,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage LA, Orange Value (HMO)",HMO,No,,Enhanced Alternative,H0524,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,164,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,164,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,168,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,168,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-014P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,210,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-014P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,210,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,UHC Complete Care CA-018P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,UHC Complete Care CA-018P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,UHC Complete Care CA-01AP (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,239,0,,Yes,$0.00 ,$18.60 ,$0.00 ,$18.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Los Angeles,UnitedHealthcare,Local CCP,UHC Complete Care CA-01AP (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,239,0,,Yes,$0.00 ,$18.60 ,$0.00 ,$18.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H0544,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H0544,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,004,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,004,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H0544,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H0544,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Premium Savings 2 (HMO),HMO,No,,Enhanced Alternative,H0544,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Premium Savings 2 (HMO),HMO,No,,Enhanced Alternative,H0544,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem I Carelon Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0562,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0562,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,1,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,1,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Connections (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Connections (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Connections at Home (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,002,0,,Yes,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Connections at Home (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,002,0,,Yes,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,L.A. Care Health Plan,Local CCP,L.A. Care Medicare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1224,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,L.A. Care Health Plan,Local CCP,L.A. Care Medicare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1224,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield TotalDual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,001,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield TotalDual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,001,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,001,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,001,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,003,0,,Yes,$0.00 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,003,0,,Yes,$0.00 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,008,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Los Angeles,Wellcare by Health Net,Local CCP,Wellcare Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,008,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H3815,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H3815,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health ESRD Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health ESRD Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4161,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4161,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H4161,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H4161,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,009,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,009,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Los Angeles,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4982,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4982,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Los Angeles,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
California,Los Angeles,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
California,Los Angeles,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,032,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,Los Angeles,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,032,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Prime (HMO),HMO,No,,Enhanced Alternative,H5425,065,0,,,$25.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Prime (HMO),HMO,No,,Enhanced Alternative,H5425,065,0,,,$25.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H5425,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H5425,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Embrace (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5425,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Embrace (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5425,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Inspired by women for women (HMO),HMO,No,,Enhanced Alternative,H5425,100,0,,,$25.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Inspired by women for women (HMO),HMO,No,,Enhanced Alternative,H5425,100,0,,,$25.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H5425,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H5425,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Navigate (HMO),HMO,No,,Enhanced Alternative,H5425,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Navigate (HMO),HMO,No,,Enhanced Alternative,H5425,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Los Angeles,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,125,0,,,$0.00 ,$77.00 ,$0.00 ,$77.00 ,$36.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,125,0,,,$0.00 ,$77.00 ,$0.00 ,$77.00 ,$36.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,419,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Los Angeles,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,419,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Los Angeles,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,HumanaChoice H5525-074 (PPO),Local PPO,No,,Enhanced Alternative,H5525,074,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,HumanaChoice H5525-074 (PPO),Local PPO,No,,Enhanced Alternative,H5525,074,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,HumanaChoice H5525-075 (PPO),Local PPO,No,,Enhanced Alternative,H5525,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,HumanaChoice H5525-075 (PPO),Local PPO,No,,Enhanced Alternative,H5525,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,Humana Gold Plus H5619-021 (HMO),HMO,No,,Enhanced Alternative,H5619,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,Humana Gold Plus H5619-021 (HMO),HMO,No,,Enhanced Alternative,H5619,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,Humana Gold Plus H5619-146 (HMO),HMO,No,,Enhanced Alternative,H5619,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Los Angeles,Humana,Local CCP,Humana Gold Plus H5619-146 (HMO),HMO,No,,Enhanced Alternative,H5619,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Medi-Medi Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5649,002,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Medi-Medi Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5649,002,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H5649,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H5649,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,Los Angeles,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,Los Angeles,AHF,Local CCP,PHP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$475.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,AHF,Local CCP,PHP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$475.00 ,1,,Yes,3.0,3.5,3.0
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield AdvantageOptimum Plan (HMO),HMO,No,,Enhanced Alternative,H5928,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,Blue Shield of California,Local CCP,Blue Shield AdvantageOptimum Plan (HMO),HMO,No,,Enhanced Alternative,H5928,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Los Angeles,VillageHealth,Local CCP,VillageHealth (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5943,002,0,,,,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Los Angeles,VillageHealth,Local CCP,VillageHealth (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5943,002,0,,,,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Clever Care Health Plan,Local CCP,Clever Care Longevity (HMO),HMO,No,,Enhanced Alternative,H7607,002,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Los Angeles,Clever Care Health Plan,Local CCP,Clever Care Active (HMO),HMO,No,,Enhanced Alternative,H7607,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Los Angeles,Clever Care Health Plan,Local CCP,Clever Care Value (HMO),HMO,No,,Enhanced Alternative,H7607,008,1,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Los Angeles,Clever Care Health Plan,Local CCP,Clever Care Total + (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7607,011,1,,,$0.00 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Los Angeles,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Healthy at Home (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9104,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Los Angeles,SCAN Health Plan,Local CCP,SCAN Healthy at Home (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9104,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Madera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Madera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Madera,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,038,0,,,$19.40 ,$50.60 ,$0.00 ,$50.60 ,$9.60 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Madera,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Madera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,035,0,,,$19.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Madera,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Madera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-024P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Madera,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,056,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Madera,Wellcare by Health Net,Local CCP,Wellcare No Premium Ruby (HMO),HMO,No,,Enhanced Alternative,H0562,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Madera,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Madera,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Madera,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Madera,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Madera,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Madera,Wellcare by Health Net,Local CCP,Wellcare CalViva Health Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,007,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Madera,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Madera,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3815,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Madera,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Madera,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Madera,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4471,002,0,,,$0.00 ,($6.80),$6.80 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Madera,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,098,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Madera,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Madera,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Madera,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Madera,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Madera,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Madera,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Madera,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Madera,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Madera,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,332,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Madera,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Madera,Humana,Local CCP,Humana Gold Plus H5619-012 (HMO),HMO,No,,Enhanced Alternative,H5619,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Madera,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Madera,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Madera,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Madera,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Madera,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Madera,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Marin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Marin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,077,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Marin,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO),HMO,No,,Enhanced Alternative,H0524,031,0,,,$25.20 ,$44.80 ,$0.00 ,$44.80 ,$3.80 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Marin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Marin (HMO),HMO,No,,Enhanced Alternative,H0524,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Marin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,176,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Marin,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Marin,UnitedHealthcare,Local CCP,UHC Complete Care CA-025P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,224,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Marin,UnitedHealthcare,Local CCP,UHC Complete Care CA-08AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,249,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Marin,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Marin,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Marin,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Marin,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Marin,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Marin,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Marin,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Marin,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Marin,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Marin,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,008,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Marin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Marin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Marin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Marin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Marin,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Marin,Humana,Local CCP,HumanaChoice H5525-055 (PPO),Local PPO,No,,Enhanced Alternative,H5525,055,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
California,Marin,Humana,Local CCP,Humana Gold Plus H5619-147 (HMO),HMO,No,,Enhanced Alternative,H5619,147,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Marin,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Mariposa,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,038,0,,,$19.40 ,$50.60 ,$0.00 ,$50.60 ,$9.60 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Mariposa,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Mariposa,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Mariposa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mariposa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mariposa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mariposa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Mariposa,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Mariposa,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Mariposa,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Mendocino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Mendocino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Mendocino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Mendocino,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Mendocino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mendocino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mendocino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mendocino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Merced,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Merced,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Merced,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,047,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Merced,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Merced,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Merced,CCA Health California,Local CCP,CCA Medicare Excel (HMO),HMO,No,,Enhanced Alternative,H1426,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Merced,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,002,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Merced,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Merced,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO),HMO,No,,Enhanced Alternative,H3815,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Merced,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Merced,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Merced,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Merced,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Merced,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Merced,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Merced,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Merced,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Modoc,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Modoc,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Modoc,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Modoc,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Mono,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Mono,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Mono,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mono,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mono,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Mono,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Mono,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Mono,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Monterey,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Monterey,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Monterey,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Monterey,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Monterey,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Monterey,Aspire Health,Local CCP,Aspire Health Advantage (HMO),HMO,No,,Enhanced Alternative,H8764,001,0,,,$75.90 ,$30.10 ,$36.00 ,$66.10 ,$36.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
California,Monterey,Aspire Health,Local CCP,Aspire Health Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8764,002,0,,,$212.90 ,$47.10 ,$52.00 ,$99.10 ,$58.10 ,$0.00 ,,,Yes,3.5,3.0,3.5
California,Monterey,Aspire Health,Local CCP,Aspire Health Value (HMO),HMO,No,,Enhanced Alternative,H8764,003,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
California,Monterey,Aspire Health,Local CCP,Aspire Health Protect (HMO),HMO,No,,Enhanced Alternative,H8764,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
California,Napa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Napa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Napa,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",HMO,No,,Enhanced Alternative,H0524,032,0,,,$28.90 ,$41.10 ,$0.00 ,$41.10 ,$0.10 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Napa,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Napa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-029P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,228,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Napa,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Napa,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Napa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Napa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Napa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Napa,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Napa,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Napa,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Napa,Humana,Local CCP,Humana Gold Plus H5619-147 (HMO),HMO,No,,Enhanced Alternative,H5619,147,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Napa,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Napa,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Nevada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,086,0,,,$51.80 ,$42.20 ,$0.00 ,$42.20 ,$1.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Nevada,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Nevada,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Nevada,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Nevada,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Nevada,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0027 (PPO),Local PPO,No,,Enhanced Alternative,H0294,035,0,,,$7.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0030 (PPO),Local PPO,No,,Enhanced Alternative,H0294,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Orange,Blue Shield of California,Local CCP,Blue Shield 65 Plus Plan 2 (HMO),HMO,No,,Enhanced Alternative,H0504,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Orange,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Orange,Blue Shield of California,Local CCP,Blue Shield Enhanced (HMO),HMO,No,,Enhanced Alternative,H0504,049,0,,,$45.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Prime II Plan (HMO),HMO,No,,Enhanced Alternative,H0523,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Prime Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,079,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)",HMO,No,,Enhanced Alternative,H0524,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage LA, Orange Value (HMO)",HMO,No,,Enhanced Alternative,H0524,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,165,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-005P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-016P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,215,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,UHC Complete Care CA-019P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-021P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,237,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,UnitedHealthcare,Local CCP,UHC Complete Care CA-02AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,240,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H0544,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,004,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H0544,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Premium Savings 2 (HMO),HMO,No,,Enhanced Alternative,H0544,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem I Carelon Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Wellcare by Health Net,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0562,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,Orange,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
California,Orange,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,1,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,Orange,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Orange,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Orange,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Orange,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Orange,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Orange,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Orange,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Orange,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Orange,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,Orange,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Orange,Blue Shield of California,Local CCP,Blue Shield TotalDual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,003,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Orange,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Orange,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Orange,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Orange,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,009,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H3815,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health ESRD Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Orange,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4161,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H4161,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Blue Shield of California,Local CCP,Blue Shield Select (PPO),Local PPO,No,,Enhanced Alternative,H4937,002,0,,,$1.60 ,$42.50 ,$12.90 ,$55.40 ,$14.40 ,$0.00 ,,,Yes,3.0,4.5,3.5
California,Orange,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Orange,Alignment Health Plan,Local CCP,Alignment Health PPO powered by Hoag (PPO),Local PPO,No,,Enhanced Alternative,H4961,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
California,Orange,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,032,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Prime (HMO),HMO,No,,Enhanced Alternative,H5425,066,0,,,$26.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H5425,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Embrace (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5425,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Inspired by women for women (HMO),HMO,No,,Enhanced Alternative,H5425,100,0,,,$25.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN MyChoice (HMO),HMO,No,,Enhanced Alternative,H5425,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H5425,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,SCAN Health Plan,Local CCP,SCAN Navigate (HMO),HMO,No,,Enhanced Alternative,H5425,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Orange,"OneCare, a Medicare Medi-Cal Plan",Local CCP,"OneCare, a Medicare Medi-Cal Plan (HMO D-SNP)",HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5433,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Orange,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Orange,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Orange,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Orange,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,056,0,,,$30.10 ,$46.90 ,$0.00 ,$46.90 ,$5.90 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Orange,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,420,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Orange,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,Orange,Humana,Local CCP,HumanaChoice H5525-074 (PPO),Local PPO,No,,Enhanced Alternative,H5525,074,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Orange,Humana,Local CCP,HumanaChoice H5525-075 (PPO),Local PPO,No,,Enhanced Alternative,H5525,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Orange,Humana,Local CCP,Humana Gold Plus H5619-021 (HMO),HMO,No,,Enhanced Alternative,H5619,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Orange,Humana,Local CCP,Humana Gold Plus H5619-146 (HMO),HMO,No,,Enhanced Alternative,H5619,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Orange,Central Health Medicare Plan,Local CCP,Central Health Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Central Health Medicare Plan,Local CCP,Central Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H5649,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,Blue Shield of California,Local CCP,Blue Shield AdvantageOptimum Plan (HMO),HMO,No,,Enhanced Alternative,H5928,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Orange,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Clever Care Health Plan,Local CCP,Clever Care Longevity (HMO),HMO,No,,Enhanced Alternative,H7607,002,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Orange,Clever Care Health Plan,Local CCP,Clever Care Active (HMO),HMO,No,,Enhanced Alternative,H7607,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Orange,Clever Care Health Plan,Local CCP,Clever Care Value (HMO),HMO,No,,Enhanced Alternative,H7607,008,2,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Orange,Clever Care Health Plan,Local CCP,Clever Care Total + (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7607,011,2,,,$0.00 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Orange,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,020,0,,,$69.50 ,$82.30 ,$11.20 ,$93.50 ,$52.50 ,$370.00 ,1,,,2.5,2.5,2.5
California,Orange,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Orange,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Sycamore + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Orange,SCAN Health Plan,Local CCP,SCAN Healthy at Home (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9104,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Placer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0025 (PPO),Local PPO,No,,Enhanced Alternative,H0294,033,0,,,$11.20 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Placer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0033 (PPO),Local PPO,No,,Enhanced Alternative,H0294,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Placer,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Placer,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Placer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,089,0,,,$32.00 ,$56.00 ,$0.00 ,$56.00 ,$15.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Placer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-002P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,146,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Placer,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Placer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-023P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Placer,UnitedHealthcare,Local CCP,UHC Complete Care CA-08AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,249,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Placer,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,009,0,,,$100.90 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Placer,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Placer,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Placer,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Placer,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Placer,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Placer,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,019,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Placer,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Placer,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Placer,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Placer,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Placer,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Placer,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Placer,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Placer,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Placer,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Placer,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Plumas,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Plumas,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Plumas,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Plumas,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Plumas,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Plumas,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Plumas,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0028 (PPO),Local PPO,No,,Enhanced Alternative,H0294,036,0,,,$8.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0031 (PPO),Local PPO,No,,Enhanced Alternative,H0294,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Riverside,Blue Shield of California,Local CCP,Blue Shield 65 Plus Choice Plan (HMO),HMO,No,,Enhanced Alternative,H0504,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Riverside,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Riverside,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Inland Empire (HMO),HMO,No,,Enhanced Alternative,H0524,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Advantage Inland Empire Value (HMO),HMO,No,,Enhanced Alternative,H0524,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,166,0,,,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-006P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-017P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,216,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,UHC Complete Care CA-020P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-022P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,221,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,238,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Riverside,UnitedHealthcare,Local CCP,UHC Complete Care CA-03AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,241,0,,Yes,$0.00 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Riverside,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Riverside,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Riverside,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
California,Riverside,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,2,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,Riverside,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Riverside,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Riverside,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Riverside,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Riverside,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Riverside,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Riverside,SCAN Health Plan,Local CCP,SCAN Connections (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,SCAN Health Plan,Local CCP,SCAN Connections at Home (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,002,0,,Yes,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Riverside,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Riverside,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,Riverside,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,Riverside,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,001,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,003,0,,Yes,$0.00 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Riverside,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Riverside,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Riverside,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,009,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Riverside,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Riverside,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Riverside,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4982,018,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Riverside,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,016,0,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
California,Riverside,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,032,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Prime (HMO),HMO,No,,Enhanced Alternative,H5425,067,0,,,$23.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H5425,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H5425,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,SCAN Health Plan,Local CCP,SCAN Navigate (HMO),HMO,No,,Enhanced Alternative,H5425,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Riverside,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Riverside,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Riverside,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Riverside,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Riverside,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,333,0,,,$49.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Riverside,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,421,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Riverside,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,Riverside,Humana,Local CCP,HumanaChoice H5525-074 (PPO),Local PPO,No,,Enhanced Alternative,H5525,074,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Riverside,Humana,Local CCP,HumanaChoice H5525-075 (PPO),Local PPO,No,,Enhanced Alternative,H5525,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Riverside,Humana,Local CCP,Humana Gold Plus H5619-039 (HMO),HMO,No,,Enhanced Alternative,H5619,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,Riverside,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Riverside,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Riverside,Central Health Medicare Plan,Local CCP,Central Health Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Central Health Medicare Plan,Local CCP,Central Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H5649,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,Riverside,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,Riverside,VillageHealth,Local CCP,VillageHealth (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5943,001,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$370.00 ,1,,,3.0,3.5,3.0
California,Riverside,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,Clever Care Health Plan,Local CCP,Clever Care Longevity (HMO),HMO,No,,Enhanced Alternative,H7607,002,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Riverside,Clever Care Health Plan,Local CCP,Clever Care Active (HMO),HMO,No,,Enhanced Alternative,H7607,007,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Riverside,Clever Care Health Plan,Local CCP,Clever Care Value (HMO),HMO,No,,Enhanced Alternative,H7607,008,5,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,Riverside,Clever Care Health Plan,Local CCP,Clever Care Total + (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7607,011,5,,,$0.00 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Riverside,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H7621,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Riverside,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,IEHP DualChoice,Local CCP,IEHP DualChoice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8894,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Riverside,SCAN Health Plan,Local CCP,SCAN Healthy at Home (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9104,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Sacramento,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0025 (PPO),Local PPO,No,,Enhanced Alternative,H0294,033,0,,,$11.20 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Sacramento,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0033 (PPO),Local PPO,No,,Enhanced Alternative,H0294,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Sacramento,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Sacramento,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,074,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Sacramento,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sacramento,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sacramento,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,089,0,,,$32.00 ,$56.00 ,$0.00 ,$56.00 ,$15.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Sacramento,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-002P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,146,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Sacramento,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Sacramento,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-023P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,222,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Sacramento,UnitedHealthcare,Local CCP,UHC Complete Care CA-08AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,249,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Sacramento,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Sacramento,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,009,0,,,$100.90 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Sacramento,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Sacramento,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Sacramento,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Sacramento,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Sacramento,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Sacramento,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Sacramento,Wellcare by Health Net,Local CCP,Wellcare Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,008,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,019,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Sacramento,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sacramento,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sacramento,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,004,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sacramento,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Sacramento,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sacramento,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sacramento,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Sacramento,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sacramento,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Sacramento,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Sacramento,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Sacramento,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Benito,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,San Benito,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,San Benito,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Benito,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Benito,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Benito,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0028 (PPO),Local PPO,No,,Enhanced Alternative,H0294,036,0,,,$8.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0031 (PPO),Local PPO,No,,Enhanced Alternative,H0294,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Bernardino,Blue Shield of California,Local CCP,Blue Shield 65 Plus Choice Plan (HMO),HMO,No,,Enhanced Alternative,H0504,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Bernardino,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Inland Empire (HMO),HMO,No,,Enhanced Alternative,H0524,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Advantage Inland Empire Value (HMO),HMO,No,,Enhanced Alternative,H0524,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,166,0,,,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-006P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-017P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,216,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,UHC Complete Care CA-020P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-022P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,221,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,238,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Bernardino,UnitedHealthcare,Local CCP,UHC Complete Care CA-03AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,241,0,,Yes,$0.00 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H0544,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Premium Savings 2 (HMO),HMO,No,,Enhanced Alternative,H0544,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H0544,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,010,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem I Carelon Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0544,020,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
California,San Bernardino,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,2,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Bernardino,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Connections (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Connections at Home (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,002,0,,Yes,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Bernardino,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Bernardino,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,San Bernardino,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Bernardino,Blue Shield of California,Local CCP,Blue Shield TotalDual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,003,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,001,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,003,0,,Yes,$0.00 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,009,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,San Bernardino,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Bernardino,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H4161,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Anthem Blue Cross Partnership Plan,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4161,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4982,018,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Bernardino,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,016,0,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
California,San Bernardino,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,032,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Prime (HMO),HMO,No,,Enhanced Alternative,H5425,068,0,,,$23.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H5425,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Embrace (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5425,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H5425,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Navigate (HMO),HMO,No,,Enhanced Alternative,H5425,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Bernardino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Bernardino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Bernardino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Bernardino,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Bernardino,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,333,0,,,$49.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Bernardino,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,421,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Bernardino,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,San Bernardino,Humana,Local CCP,HumanaChoice H5525-074 (PPO),Local PPO,No,,Enhanced Alternative,H5525,074,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Bernardino,Humana,Local CCP,HumanaChoice H5525-075 (PPO),Local PPO,No,,Enhanced Alternative,H5525,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Bernardino,Humana,Local CCP,Humana Gold Plus H5619-039 (HMO),HMO,No,,Enhanced Alternative,H5619,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,San Bernardino,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Bernardino,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Medi-Medi Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5649,002,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H5649,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,San Bernardino,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,San Bernardino,VillageHealth,Local CCP,VillageHealth (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5943,001,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$370.00 ,1,,,3.0,3.5,3.0
California,San Bernardino,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,Clever Care Health Plan,Local CCP,Clever Care Longevity (HMO),HMO,No,,Enhanced Alternative,H7607,002,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Bernardino,Clever Care Health Plan,Local CCP,Clever Care Active (HMO),HMO,No,,Enhanced Alternative,H7607,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Bernardino,Clever Care Health Plan,Local CCP,Clever Care Value (HMO),HMO,No,,Enhanced Alternative,H7607,008,4,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Bernardino,Clever Care Health Plan,Local CCP,Clever Care Total + (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7607,011,4,,,$0.00 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,San Bernardino,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H7621,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Bernardino,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,IEHP DualChoice,Local CCP,IEHP DualChoice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8894,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Bernardino,SCAN Health Plan,Local CCP,SCAN Healthy at Home (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9104,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,San Diego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0035 (PPO),Local PPO,No,,Enhanced Alternative,H0294,043,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Diego,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Classic Prime Plan (HMO),HMO,No,,Enhanced Alternative,H0523,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,080,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage San Diego (HMO),HMO,No,,Enhanced Alternative,H0524,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage San Diego Value (HMO),HMO,No,,Enhanced Alternative,H0524,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,060,0,,,$22.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,UHC Sharp Medicare Advantage CA-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,145,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,UHC Sharp Medicare Advantage Walgreens CA-012P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,UHC Complete Care CA-015P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-026P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,225,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,UnitedHealthcare,Local CCP,UHC Complete Care CA-06AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,246,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Diego,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,San Diego,Wellcare by Health Net,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0562,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,San Diego,Wellcare by Health Net,Local CCP,Wellcare Low Premium (HMO),HMO,No,,Enhanced Alternative,H0562,130,2,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
California,San Diego,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Diego,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,1,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Diego,Brand New Day,Local CCP,Brand New Day Part B Savings Plan (HMO),HMO,No,,Enhanced Alternative,H0838,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Diego,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Diego,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,2,,,$0.00 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,San Diego,SCAN Health Plan,Local CCP,SCAN Connections (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,SCAN Health Plan,Local CCP,SCAN Connections at Home (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0976,002,0,,Yes,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Astiva Health,Local CCP,Astiva Health Savings Plan (HMO),HMO,No,,Enhanced Alternative,H1993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Diego,Astiva Health,Local CCP,Astiva Health C-SNP Deluxe (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Diego,Astiva Health,Local CCP,Astiva Health C-SNP WOW (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1993,008,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.0,3.0
California,San Diego,Astiva Health,Local CCP,Astiva Health Premier Plan (HMO),HMO,No,,Enhanced Alternative,H1993,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
California,San Diego,Blue Shield of California,Local CCP,Blue Shield TotalDual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,001,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,001,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Molina Healthcare of California,Local CCP,Molina Medicare Complete Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3038,003,0,,Yes,$0.00 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,009,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health Select (HMO),HMO,No,,Enhanced Alternative,H3815,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Diego,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Community Health Group,Local CCP,CommuniCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4733,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Blue Shield of California,Local CCP,Blue Shield Select (PPO),Local PPO,No,,Enhanced Alternative,H4937,002,0,,,$1.60 ,$42.50 ,$12.90 ,$55.40 ,$14.40 ,$0.00 ,,,Yes,3.0,4.5,3.5
California,San Diego,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,016,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,San Diego,Sharp Health Plan,Local CCP,Sharp Direct Advantage Gold Card (HMO),HMO,No,,Enhanced Alternative,H5386,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
California,San Diego,Sharp Health Plan,Local CCP,Sharp Direct Advantage Platinum Card (HMO),HMO,No,,Enhanced Alternative,H5386,004,0,,,$8.20 ,$0.50 ,$48.30 ,$48.80 ,$48.30 ,$0.00 ,,,,4.5,3.5,4.5
California,San Diego,Sharp Health Plan,Local CCP,Sharp Direct Advantage VIP Plan (HMO),HMO,No,,Enhanced Alternative,H5386,005,0,,,$0.00 ,($0.80),$0.80 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
California,San Diego,SCAN Health Plan,Local CCP,Scripps Signature offered by SCAN Health Plan (HMO),HMO,No,,Enhanced Alternative,H5425,004,0,,,$74.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,Scripps Classic offered by SCAN Health Plan (HMO),HMO,No,,Enhanced Alternative,H5425,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,Scripps Heart First offered by SCAN Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,055,0,,,$8.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,SCAN Alta (HMO),HMO,No,,Enhanced Alternative,H5425,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,SCAN Health Plan,Local CCP,SCAN MyChoice (HMO),HMO,No,,Enhanced Alternative,H5425,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Diego,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Diego,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Diego,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Diego,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,053,0,,,$31.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Diego,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,422,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Diego,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,HumanaChoice H5525-076 (PPO),Local PPO,No,,Enhanced Alternative,H5525,076,0,,,$4.30 ,$46.70 ,$0.00 ,$46.70 ,$5.70 ,$0.00 ,,,,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,HumanaChoice H5525-077 (PPO),Local PPO,No,,Enhanced Alternative,H5525,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,Humana Gold Plus H5619-016 (HMO),HMO,No,,Enhanced Alternative,H5619,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,UC San Diego Health Humana (HMO),HMO,No,,Enhanced Alternative,H5619,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Diego,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,San Diego,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5810,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
California,San Diego,Molina Healthcare of California,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5810,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,,,,2.5,3.0,2.5
California,San Diego,Blue Shield of California,Local CCP,Blue Shield AdvantageOptimum Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5928,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Diego,Champion Heath Plan,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Champion Heath Plan,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,002,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Champion Heath Plan,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6170,003,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Community Health Group,Local CCP,Community y M�s (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6248,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Diego,Clever Care Health Plan,Local CCP,Clever Care Longevity (HMO),HMO,No,,Enhanced Alternative,H7607,002,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Diego,Clever Care Health Plan,Local CCP,Clever Care Active (HMO),HMO,No,,Enhanced Alternative,H7607,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Diego,Clever Care Health Plan,Local CCP,Clever Care Value (HMO),HMO,No,,Enhanced Alternative,H7607,008,3,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
California,San Diego,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,San Diego,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,001,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Francisco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Francisco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,076,0,,,$0.00 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Francisco,Kaiser Permanente,Local CCP,"Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)",HMO,No,,Enhanced Alternative,H0524,032,0,,,$28.90 ,$41.10 ,$0.00 ,$41.10 ,$0.10 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Francisco,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic SF (HMO),HMO,No,,Enhanced Alternative,H0524,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Francisco,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Francisco,UnitedHealthcare,Local CCP,UHC Canopy Health Medicare Advantage CA-009P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,191,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Francisco,Anthem Blue Cross,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H0544,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Francisco,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,009,0,,,$100.90 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,San Francisco,Wellcare by Health Net,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0562,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
California,San Francisco,CCHP (Chinese Community Health Plan),Local CCP,CCHP Senior Program (HMO),HMO,No,,Enhanced Alternative,H0571,001,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
California,San Francisco,CCHP (Chinese Community Health Plan),Local CCP,CCHP Senior Select Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0571,005,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,San Francisco,CCHP (Chinese Community Health Plan),Local CCP,CCHP Senior Value Program (HMO),HMO,No,,Enhanced Alternative,H0571,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
California,San Francisco,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Francisco,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Francisco,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Francisco,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Francisco,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,San Francisco,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,San Francisco,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Francisco,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Francisco,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Francisco,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,023,0,,,$26.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health Harmony (HMO),HMO,No,,Enhanced Alternative,H3815,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,San Francisco,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Francisco,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Francisco,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,004,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,008,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,San Francisco,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,019,0,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
California,San Francisco,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,106,0,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Francisco,SCAN Health Plan,Local CCP,SCAN Affirm partnered with Included LGBTQ+ Health (HMO),HMO,No,,Enhanced Alternative,H5425,107,0,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Francisco,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,111,0,,,$29.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Francisco,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Francisco,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Francisco,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,San Francisco,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Francisco,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Francisco,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Francisco,Humana,Local CCP,HumanaChoice H5525-055 (PPO),Local PPO,No,,Enhanced Alternative,H5525,055,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
California,San Francisco,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,San Francisco,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Joaquin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0025 (PPO),Local PPO,No,,Enhanced Alternative,H0294,033,0,,,$11.20 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Joaquin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0033 (PPO),Local PPO,No,,Enhanced Alternative,H0294,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Joaquin,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,047,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Joaquin,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Joaquin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,074,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Joaquin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO),HMO,No,,Enhanced Alternative,H0524,042,0,,,$15.50 ,$44.50 ,$0.00 ,$44.50 ,$3.50 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Joaquin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic SnJoaq (HMO),HMO,No,,Enhanced Alternative,H0524,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Joaquin,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Joaquin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-011P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,196,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Joaquin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-032P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,231,0,,,$8.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Joaquin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-034P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,234,0,,,$0.10 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Joaquin,UnitedHealthcare,Local CCP,UHC Complete Care CA-08AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,249,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Joaquin,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Joaquin,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Joaquin,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Joaquin,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Joaquin,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Joaquin,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,San Joaquin,CCA Health California,Local CCP,CCA Medicare Excel (HMO),HMO,No,,Enhanced Alternative,H1426,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,San Joaquin,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,002,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Joaquin,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Joaquin,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,San Joaquin,Alignment Health Plan,Local CCP,Alignment Health Balance (PPO),Local PPO,No,,Enhanced Alternative,H4961,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,San Joaquin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
California,San Joaquin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Joaquin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Joaquin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,San Joaquin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Joaquin,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Joaquin,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Joaquin,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Joaquin,Humana,Local CCP,HumanaChoice H5525-080 (PPO),Local PPO,No,,Enhanced Alternative,H5525,080,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Joaquin,Humana,Local CCP,Humana Gold Plus H5619-026 (HMO),HMO,No,,Enhanced Alternative,H5619,026,0,,,$96.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
California,San Joaquin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,San Joaquin,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H5619,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Joaquin,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Joaquin,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Joaquin,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Joaquin,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H7621,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
California,San Joaquin,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,San Joaquin,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Luis Obispo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0039 (PPO),Local PPO,No,,Enhanced Alternative,H0294,047,0,,,$3.50 ,$44.50 ,$0.00 ,$44.50 ,$3.50 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Luis Obispo,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,039,0,,,$52.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Luis Obispo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,167,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Luis Obispo,UnitedHealthcare,Local CCP,UHC Complete Care CA-07AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,247,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,San Luis Obispo,UnitedHealthcare,Local CCP,UHC Complete Care CA-036P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,248,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,San Luis Obispo,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Luis Obispo,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Luis Obispo,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Luis Obispo,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,San Luis Obispo,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,San Luis Obispo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Luis Obispo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Luis Obispo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Luis Obispo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Luis Obispo,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,371,0,,,$16.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Luis Obispo,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,San Luis Obispo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,San Luis Obispo,Humana,Local CCP,Humana Gold Plus H5619-119 (HMO),HMO,No,,Enhanced Alternative,H5619,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
California,San Luis Obispo,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,San Luis Obispo,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,San Luis Obispo,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,San Mateo,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,041,0,,,$18.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,San Mateo,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO),HMO,No,,Enhanced Alternative,H0524,031,0,,,$25.20 ,$44.80 ,$0.00 ,$44.80 ,$3.80 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic San Mateo (HMO),HMO,No,,Enhanced Alternative,H0524,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,028,0,,,$69.10 ,$48.90 ,$0.00 ,$48.90 ,$7.90 ,$360.00 ,1,,Yes,3.5,4.0,3.5
California,San Mateo,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,San Mateo,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0562,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,San Mateo,CCHP (Chinese Community Health Plan),Local CCP,CCHP Senior Program (HMO),HMO,No,,Enhanced Alternative,H0571,001,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
California,San Mateo,CCHP (Chinese Community Health Plan),Local CCP,CCHP Senior Value Program (HMO),HMO,No,,Enhanced Alternative,H0571,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
California,San Mateo,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Mateo,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,San Mateo,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,San Mateo,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,San Mateo,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,San Mateo,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Mateo,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Mateo,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,San Mateo,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,023,0,,,$26.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,San Mateo,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Mateo,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,003,0,,,$21.90 ,$31.30 ,$43.80 ,$75.10 ,$43.80 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,San Mateo,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,SCAN Health Plan,Local CCP,SCAN MyChoice (HMO),HMO,No,,Enhanced Alternative,H5425,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,San Mateo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Mateo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Mateo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,San Mateo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,San Mateo,Central Health Medicare Plan,Local CCP,Central Health San Mateo Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,San Mateo,HEALTH PLAN OF SAN MATEO,Local CCP,CareAdvantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H6019,001,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,San Mateo,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Barbara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0024 (PPO),Local PPO,No,,Enhanced Alternative,H0294,032,0,,,$45.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Barbara,Blue Shield of California,Local CCP,Blue Shield 65 Plus (HMO),HMO,No,,Enhanced Alternative,H0504,039,0,,,$52.50 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Santa Barbara,Humana,Local CCP,Humana Gold Plus H5619-130 (HMO),HMO,No,,Enhanced Alternative,H5619,130,1,,,$79.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Santa Clara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Clara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Clara,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,047,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Santa Clara,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Santa Clara,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,077,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Santa Clara,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO),HMO,No,,Enhanced Alternative,H0524,039,0,,,$23.90 ,$41.10 ,$0.00 ,$41.10 ,$0.10 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Santa Clara,Kaiser Permanente,Local CCP,Kaiser Permanente Sr Adv Basic Santa Clara (HMO),HMO,No,,Enhanced Alternative,H0524,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Santa Clara,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Santa Clara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-010P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Santa Clara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-031P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,230,0,,,$40.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,4.0,3.5
California,Santa Clara,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Santa Clara,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0562,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Santa Clara,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Santa Clara,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Santa Clara,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Santa Clara,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Santa Clara,CCA Health California,Local CCP,CCA Medicare Excel (HMO),HMO,No,,Enhanced Alternative,H1426,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Santa Clara,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3274,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
California,Santa Clara,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3274,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Santa Clara,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Santa Clara,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3274,004,0,,,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,020,0,,,$0.00 ,$17.40 ,$31.60 ,$49.00 ,$31.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health Harmony (HMO),HMO,No,,Enhanced Alternative,H3815,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health the ONE + Rite Aid (HMO),HMO,No,,Enhanced Alternative,H3815,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Santa Clara,Santa Clara Family Health Plan,Local CCP,DualConnect (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4045,001,0,,Yes,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Clara,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Clara,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Clara,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,009,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Clara,Alignment Health Plan,Local CCP,Alignment Health Balance (PPO),Local PPO,No,,Enhanced Alternative,H4961,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Santa Clara,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Santa Clara,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,020,0,,,$52.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
California,Santa Clara,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Santa Clara,SCAN Health Plan,Local CCP,SCAN Options (HMO),HMO,No,,Enhanced Alternative,H5425,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
California,Santa Clara,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,098,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Santa Clara,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Santa Clara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Clara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Clara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Clara,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Santa Clara,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Santa Clara,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Santa Clara,Central Health Medicare Plan,Local CCP,Central Health Focus Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5649,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Clara,Central Health Medicare Plan,Local CCP,Central Health Premier Plan I (HMO),HMO,No,,Enhanced Alternative,H5649,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Clara,Central Health Medicare Plan,Local CCP,Central Health Premier Plan II (HMO),HMO,No,,Enhanced Alternative,H5649,021,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Clara,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,002,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Santa Cruz,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Santa Cruz (HMO),HMO,No,,Enhanced Alternative,H0524,054,0,,,$33.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Santa Cruz,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Santa Cruz,UnitedHealthcare,Local CCP,UHC Canopy Health Medicare Advantage CA-013P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,209,0,,,$4.70 ,$41.30 ,$0.00 ,$41.30 ,$0.30 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Santa Cruz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-030P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,229,0,,,$13.30 ,$42.70 ,$0.00 ,$42.70 ,$1.70 ,$350.00 ,1,,Yes,3.5,4.0,3.5
California,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,021,0,,,$46.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Santa Cruz,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Santa Cruz,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Cruz,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Cruz,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Santa Cruz,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,372,0,,,$17.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Santa Cruz,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Santa Cruz,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Shasta,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Shasta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,195,0,,,$10.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,3.5
California,Shasta,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Shasta,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Shasta,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Shasta,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Shasta,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Shasta,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Sierra,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sierra,Humana,Local CCP,HumanaChoice H5525-056 (PPO),Local PPO,No,,Enhanced Alternative,H5525,056,0,,,$18.50 ,$47.50 ,$0.00 ,$47.50 ,$6.50 ,$250.00 ,1,,,4.0,3.5,4.0
California,Sierra,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Siskiyou,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Siskiyou,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Siskiyou,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Siskiyou,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Siskiyou,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Solano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Solano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Solano,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Solano (HMO),HMO,No,,Enhanced Alternative,H0524,008,0,,,$24.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Solano,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Solano (HMO),HMO,No,,Enhanced Alternative,H0524,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Solano,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Solano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-033P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,232,0,,,$32.10 ,$15.90 ,$0.00 ,$15.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Solano,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0562,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Solano,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Solano,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Solano,Brand New Day,Local CCP,Brand New Day Classic Care III Plan (HMO),HMO,No,,Enhanced Alternative,H0838,046,0,,,$26.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Solano,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,047,0,,,$7.00 ,$48.00 ,$0.00 ,$48.00 ,$7.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Solano,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Solano,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Solano,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Solano,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Solano,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Solano,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Solano,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,370,0,,,$18.20 ,$8.80 ,$0.00 ,$8.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Solano,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Solano,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Solano,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sonoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0023 (PPO),Local PPO,No,,Enhanced Alternative,H0294,031,0,,,$1.00 ,$43.00 ,$0.00 ,$43.00 ,$2.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Sonoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0032 (PPO),Local PPO,No,,Enhanced Alternative,H0294,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Sonoma,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sonoma,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sonoma,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Sonoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-029P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,228,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Sonoma,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Sonoma,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,023,0,,,$26.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Sonoma,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sonoma,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,003,0,,,$21.90 ,$31.30 ,$43.80 ,$75.10 ,$43.80 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Sonoma,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sonoma,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sonoma,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Sonoma,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Sonoma,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Sonoma,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Sonoma,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Sonoma,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Stanislaus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0025 (PPO),Local PPO,No,,Enhanced Alternative,H0294,033,0,,,$11.20 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Stanislaus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0033 (PPO),Local PPO,No,,Enhanced Alternative,H0294,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Stanislaus,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO),HMO,No,,Enhanced Alternative,H0504,047,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
California,Stanislaus,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Stanis (HMO),HMO,No,,Enhanced Alternative,H0524,040,0,,,$21.10 ,$43.90 ,$0.00 ,$43.90 ,$2.90 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Stanislaus,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Stanis (HMO),HMO,No,,Enhanced Alternative,H0524,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Stanislaus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,036,0,,,$71.10 ,$22.90 ,$0.00 ,$22.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Stanislaus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,147,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Stanislaus,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Stanislaus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-011P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,196,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Stanislaus,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,009,0,,,$100.90 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Stanislaus,Wellcare by Health Net,Local CCP,Wellcare No Premium Ruby (HMO),HMO,No,,Enhanced Alternative,H0562,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Stanislaus,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Stanislaus,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Stanislaus,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Stanislaus,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Stanislaus,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Stanislaus,CCA Health California,Local CCP,CCA Medicare Excel (HMO),HMO,No,,Enhanced Alternative,H1426,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
California,Stanislaus,Blue Shield of California,Local CCP,Blue Shield Inspire (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2819,002,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Stanislaus,Wellcare by Health Net,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,001,0,,Yes,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health AllCare Preferred (HMO),HMO,No,,Enhanced Alternative,H3815,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health AVA + Instacart (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3815,026,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Stanislaus,Alignment Health Plan,Local CCP,Alignment Health Balance (PPO),Local PPO,No,,Enhanced Alternative,H4961,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Stanislaus,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Stanislaus,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Stanislaus,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,098,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Stanislaus,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5425,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Stanislaus,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Stanislaus,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Stanislaus,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Stanislaus,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Stanislaus,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Stanislaus,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Stanislaus,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Stanislaus,Humana,Local CCP,HumanaChoice H5525-080 (PPO),Local PPO,No,,Enhanced Alternative,H5525,080,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Stanislaus,Humana,Local CCP,Humana Gold Plus H5619-032 (HMO),HMO,No,,Enhanced Alternative,H5619,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Stanislaus,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Stanislaus,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Stanislaus,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Stanislaus,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Stanislaus,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sutter,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sutter,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Sutter,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Sutter,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7360,001,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,3.0,Not enough data available
California,Sutter,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Tehama,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Tehama,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,195,0,,,$10.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,3.5
California,Tehama,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tehama,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tehama,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tehama,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tehama,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Tehama,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Trinity,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,002,0,,,$18.90 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tulare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0022 (PPO),Local PPO,No,,Enhanced Alternative,H0294,030,0,,,$41.90 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
California,Tulare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0034 (PPO),Local PPO,No,,Enhanced Alternative,H0294,042,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
California,Tulare,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,038,0,,,$19.40 ,$50.60 ,$0.00 ,$50.60 ,$9.60 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Tulare,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic Fresno (HMO),HMO,No,,Enhanced Alternative,H0524,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Tulare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,140,0,,,$21.90 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Tulare,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Tulare,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,056,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Tulare,Wellcare by Health Net,Local CCP,Wellcare No Premium Ruby (HMO),HMO,No,,Enhanced Alternative,H0562,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
California,Tulare,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Tulare,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Tulare,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Tulare,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Tulare,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Tulare,Wellcare by Health Net,Local CCP,Wellcare Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3561,008,0,,Yes,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
California,Tulare,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tulare,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tulare,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4471,002,0,,,$0.00 ,($6.80),$6.80 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tulare,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tulare,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tulare,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Tulare,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tulare,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Tulare,Humana,Local CCP,Humana Gold Plus H5619-015 (HMO),HMO,No,,Enhanced Alternative,H5619,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Tulare,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Tulare,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Tulare,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Tulare,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tuolumne,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tuolumne,Aetna Medicare,Local CCP,Aetna Medicare Core Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5309,001,0,,,$19.90 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Tuolumne,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tuolumne,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tuolumne,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Tuolumne,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Tuolumne,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Ventura,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0038 (PPO),Local PPO,No,,Enhanced Alternative,H0294,046,0,,,$0.30 ,$43.70 ,$0.00 ,$43.70 ,$2.70 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Ventura,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Ventura (HMO),HMO,No,,Enhanced Alternative,H0524,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Ventura,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Ventura Value (HMO),HMO,No,,Enhanced Alternative,H0524,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Ventura,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Ventura,UnitedHealthcare,Local CCP,UHC Complete Care CA-028P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0543,227,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Ventura,UnitedHealthcare,Local CCP,UHC Complete Care CA-05AP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0543,243,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Ventura,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health My Choice (HMO),HMO,No,,Enhanced Alternative,H3815,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health CalPlusDuals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3815,030,0,,Yes,$0.00 ,$1.60 ,$0.00 ,$1.60 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Ventura,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Prime (HMO),HMO,No,,Enhanced Alternative,H4161,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Ventura,Anthem Blue Cross Partnership Plan,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4471,005,0,,Yes,$0.00 ,$9.50 ,$0.00 ,$9.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Ventura,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H4961,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Ventura,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4982,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
California,Ventura,Aetna Medicare,Local CCP,Aetna Medicare Plus Plan (HMO),HMO,No,,Enhanced Alternative,H4982,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Ventura,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5087,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
California,Ventura,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5087,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
California,Ventura,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5425,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Ventura,SCAN Health Plan,Local CCP,SCAN Options (HMO),HMO,No,,Enhanced Alternative,H5425,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Ventura,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5425,097,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
California,Ventura,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Ventura,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Ventura,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Ventura,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Ventura,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Ventura,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,292,0,,,$49.80 ,$18.80 ,$18.40 ,$37.20 ,$18.40 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Ventura,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,038,0,,Yes,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
California,Ventura,Humana,Local CCP,Humana Gold Plus H5619-130 (HMO),HMO,No,,Enhanced Alternative,H5619,130,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Ventura,Humana,Local CCP,Humana Gold Plus H5619-148 (HMO),HMO,No,,Enhanced Alternative,H5619,148,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
California,Ventura,Humana,Local CCP,Humana Gold Plus H5619-150 (HMO),HMO,No,,Enhanced Alternative,H5619,150,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,3.5,4.0
California,Ventura,Central Health Medicare Plan,Local CCP,Central Health Ventura Medicare Plan (HMO),HMO,No,,Enhanced Alternative,H5649,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Ventura,Central Health Medicare Plan,Local CCP,Central Health Ventura Medi-Medi Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5649,009,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
California,Ventura,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Kidney Care (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8552,028,0,,,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$130.00 ,1,,Yes,2.5,2.5,2.5
California,Ventura,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal South P5 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,005,0,,Yes,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Yolo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0025 (PPO),Local PPO,No,,Enhanced Alternative,H0294,033,0,,,$11.20 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Yolo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0033 (PPO),Local PPO,No,,Enhanced Alternative,H0294,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
California,Yolo,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H0523,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Yolo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0523,074,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Yolo,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Yolo,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Yolo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,089,0,,,$32.00 ,$56.00 ,$0.00 ,$56.00 ,$15.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Yolo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CA-002P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0543,146,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
California,Yolo,UnitedHealthcare,Local CCP,UHC Medicare Advantage CA-001A (HMO),HMO,No,,Defined Standard Benefit,H0543,183,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
California,Yolo,Anthem Blue Cross,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H0544,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
California,Yolo,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra (HMO),HMO,No,,Enhanced Alternative,H0562,039,0,,,$89.70 ,$27.90 ,$19.40 ,$47.30 ,$19.40 ,$300.00 ,1,,,3.0,3.5,3.0
California,Yolo,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0562,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
California,Yolo,Brand New Day,Local CCP,Brand New Day Dual Access Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0838,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Yolo,Brand New Day,Local CCP,Brand New Day Embrace Care Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,039,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Yolo,Brand New Day,Local CCP,Brand New Day Embrace Choice Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0838,040,2,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,2.5,2.5
California,Yolo,Brand New Day,Local CCP,Brand New Day Classic Care I Plan (HMO),HMO,No,,Enhanced Alternative,H0838,050,2,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$0.00 ,,,Yes,3.0,2.5,2.5
California,Yolo,Brand New Day,Local CCP,Brand New Day Classic Care II Plan (HMO),HMO,No,,Enhanced Alternative,H0838,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$50.00 ,1,,Yes,3.0,2.5,2.5
California,Yolo,Western Health Advantage,Local CCP,Western Health Advantage MyCare (HMO),HMO,No,,Enhanced Alternative,H2782,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health My Choice CalPlus (HMO),HMO,No,,Enhanced Alternative,H3815,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3815,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health Sutter Advantage (HMO),HMO,No,,Enhanced Alternative,H3815,019,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health CalPlus Heroes (HMO),HMO,No,,Enhanced Alternative,H3815,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H3815,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H3815,039,0,,Yes,$0.00 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
California,Yolo,Alignment Health Plan,Local CCP,Alignment Health My Choice (PPO),Local PPO,No,,Enhanced Alternative,H4961,001,0,,,$7.50 ,$26.10 ,$45.40 ,$71.50 ,$45.40 ,$0.00 ,,,Yes,3.0,4.0,3.0
California,Yolo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yolo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yolo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5496,011,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
California,Yolo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yolo,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Yolo,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,293,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Yolo,Aetna Medicare,Local CCP,Aetna Medicare Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,425,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
California,Yolo,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Yuba,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,013,0,,,$12.70 ,$52.30 ,$0.00 ,$52.30 ,$11.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Yuba,Kaiser Permanente,Local CCP,"Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)",HMO,No,,Enhanced Alternative,H0524,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
California,Yuba,Anthem Blue Cross Life and Health Company,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4704,001,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
California,Yuba,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Senior Value (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5496,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yuba,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Traditional (HMO),HMO,No,,Enhanced Alternative,H5496,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yuba,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Dynamic Plan (HMO),HMO,No,,Enhanced Alternative,H5496,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
California,Yuba,"Imperial Health Plan of California, Inc.",Local CCP,Imperial Strong (HMO),HMO,No,,Defined Standard Benefit,H5496,014,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
California,Yuba,Anthem Blue Cross Life and Health Insurance Co.,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H8552,029,0,,,$5.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$370.00 ,1,,,2.5,2.5,2.5
California,Yuba,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8794,004,0,,Yes,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,091,0,Yes,Yes,,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Colorado,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,160,0,Yes,,,($21.00),$21.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not Applicable,4.0,Not Applicable
Colorado,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,230,0,Yes,,,$39.70 ,$42.50 ,$82.20 ,$42.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Colorado,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,059,0,,,,$103.70 ,$0.00 ,$103.70 ,$57.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,060,0,,,,$101.80 ,$30.80 ,$132.60 ,$86.00 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,054,0,Yes,,,$59.50 ,$0.00 ,$59.50 ,$12.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,055,0,Yes,,,$59.60 ,$55.60 ,$115.20 ,$68.60 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,202,0,Yes,,,$18.20 ,$1.90 ,$20.10 ,$1.90 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,133,0,Yes,Yes,,$41.50 ,$0.00 ,$41.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,272,0,Yes,,,$86.60 ,$8.50 ,$95.10 ,$48.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,377,0,Yes,,,($6.00),$16.00 ,$10.00 ,$10.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,026,0,Yes,,,$92.90 ,$31.00 ,$123.90 ,$77.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Colorado,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,111,0,Yes,Yes,,$47.80 ,$0.00 ,$47.80 ,$1.20 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Colorado,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,173,0,Yes,,,$90.60 ,$17.80 ,$108.40 ,$61.80 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Colorado,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,206,0,Yes,,,$44.10 ,$4.60 ,$48.70 ,$4.60 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Colorado,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,372,0,Yes,,,$70.40 ,$0.00 ,$70.40 ,$23.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,408,0,Yes,,,$64.00 ,$5.70 ,$69.70 ,$23.10 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Colorado,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,026,0,,,,$104.30 ,$0.00 ,$104.30 ,$57.70 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Colorado,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,096,0,,,,$89.50 ,$11.20 ,$100.70 ,$54.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Colorado,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,129,0,,,,($1.60),$24.40 ,$22.80 ,$22.80 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Colorado,Adams,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Adams,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Adams,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Adams,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Adams,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Adams,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Adams,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Adams,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Adams,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Adams,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Adams,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Adams,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Adams,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Adams,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Adams,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Adams,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Adams,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Adams,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Adams,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Adams,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Adams,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Adams,Elevate Medicare Advantage,Local CCP,Elevate Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5608,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Adams,Elevate Medicare Advantage,Local CCP,Elevate Medicare Select (HMO),HMO,No,,Enhanced Alternative,H5608,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Colorado,Adams,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Adams,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Adams,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Adams,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Adams,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Alamosa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Alamosa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Alamosa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Alamosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Alamosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Alamosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Alamosa,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Alamosa,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Alamosa,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Alamosa,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Alamosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Alamosa,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Arapahoe,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Arapahoe,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Arapahoe,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Arapahoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Arapahoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Arapahoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Arapahoe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Arapahoe,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Arapahoe,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Arapahoe,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Arapahoe,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Arapahoe,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Arapahoe,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Arapahoe,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Arapahoe,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Arapahoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Arapahoe,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3419,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Arapahoe,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO),HMO,No,,Enhanced Alternative,H3419,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Arapahoe,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3419,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Arapahoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Arapahoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Arapahoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Arapahoe,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Arapahoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Arapahoe,Elevate Medicare Advantage,Local CCP,Elevate Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5608,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Arapahoe,Elevate Medicare Advantage,Local CCP,Elevate Medicare Select (HMO),HMO,No,,Enhanced Alternative,H5608,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Colorado,Arapahoe,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Arapahoe,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Arapahoe,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Arapahoe,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Archuleta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Archuleta,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Archuleta,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Archuleta,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Archuleta,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Archuleta,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Archuleta,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Archuleta,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Archuleta,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Baca,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Baca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Baca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Baca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Bent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Bent,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Bent,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Bent,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Bent,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Bent,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Boulder,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Boulder,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Boulder,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Boulder,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Boulder,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Boulder,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Boulder,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Boulder,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Boulder,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Boulder,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Boulder,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Boulder,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Boulder,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Boulder,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Boulder,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Boulder,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Boulder,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Boulder,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3419,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Boulder,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO),HMO,No,,Enhanced Alternative,H3419,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Boulder,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3419,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Boulder,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Boulder,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Boulder,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Boulder,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Boulder,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Boulder,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Boulder,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Boulder,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Boulder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Colorado,Boulder,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Boulder,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Boulder,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Broomfield,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Broomfield,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Broomfield,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Broomfield,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Broomfield,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Broomfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Broomfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Broomfield,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Broomfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Broomfield,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Broomfield,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Broomfield,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Broomfield,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Broomfield,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Broomfield,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Broomfield,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Broomfield,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Broomfield,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Broomfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Broomfield,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Broomfield,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Broomfield,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Broomfield,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Broomfield,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Broomfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Broomfield,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3419,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Broomfield,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO),HMO,No,,Enhanced Alternative,H3419,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Broomfield,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3419,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Broomfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Broomfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Broomfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Broomfield,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Broomfield,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Broomfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Broomfield,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Broomfield,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Broomfield,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Broomfield,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Broomfield,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Chaffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Chaffee,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Chaffee,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Chaffee,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Chaffee,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Chaffee,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Chaffee,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Chaffee,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Cheyenne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Clear Creek,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Clear Creek,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Clear Creek,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Clear Creek,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Clear Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Clear Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Clear Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Clear Creek,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Clear Creek,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Clear Creek,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Clear Creek,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Clear Creek,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Clear Creek,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Clear Creek,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Clear Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Clear Creek,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Clear Creek,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Clear Creek,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Clear Creek,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Clear Creek,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Clear Creek,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Clear Creek,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Clear Creek,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Clear Creek,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Clear Creek,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Conejos,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Conejos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Conejos,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Conejos,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Conejos,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Conejos,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Conejos,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Conejos,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Conejos,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Costilla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Costilla,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Costilla,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Costilla,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Costilla,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Costilla,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Costilla,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Costilla,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Crowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Crowley,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Crowley,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Crowley,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Crowley,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Crowley,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Crowley,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Crowley,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Crowley,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Crowley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Crowley,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Crowley,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Crowley,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Crowley,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Crowley,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Crowley,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Custer,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Custer,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Custer,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Custer,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Custer,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Custer,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Custer,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Custer,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Custer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Custer,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Custer,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Custer,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Custer,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Custer,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Custer,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Delta,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Delta,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Delta,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Delta,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Delta,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Delta,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Delta,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Delta,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Delta,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Delta,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Delta,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Delta,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Delta,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Delta,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Delta,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Delta,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Delta,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Delta,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Denver,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Denver,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Denver,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Denver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Denver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Denver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Denver,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Denver,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Denver,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Denver,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Denver,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Denver,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Denver,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Denver,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Denver,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Denver,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Denver,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Denver,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Denver,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Denver,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Denver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Denver,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3419,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Denver,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO),HMO,No,,Enhanced Alternative,H3419,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Denver,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3419,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Denver,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Denver,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Denver,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Denver,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Denver,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Denver,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Denver,Elevate Medicare Advantage,Local CCP,Elevate Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5608,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Denver,Elevate Medicare Advantage,Local CCP,Elevate Medicare Select (HMO),HMO,No,,Enhanced Alternative,H5608,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Colorado,Denver,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Denver,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Denver,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Denver,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Denver,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Dolores,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Dolores,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Dolores,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Dolores,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Dolores,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Dolores,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Dolores,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Dolores,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Douglas,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Douglas,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Douglas,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Douglas,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Douglas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Douglas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Douglas,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Douglas,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Douglas,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Douglas,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Douglas,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Douglas,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Douglas,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Douglas,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Douglas,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Douglas,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Douglas,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Douglas,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Douglas,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Douglas,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Eagle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Eagle,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,El Paso,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,El Paso,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,El Paso,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,2,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Complete Care CO-002P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,El Paso,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core South (HMO),HMO,No,,Enhanced Alternative,H0630,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,El Paso,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,023,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,El Paso,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,El Paso,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,El Paso,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,El Paso,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,El Paso,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,El Paso,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,El Paso,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,El Paso,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,El Paso,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,El Paso,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice South (PPO),Local PPO,No,,Enhanced Alternative,H3138,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,El Paso,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,El Paso,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,El Paso,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,El Paso,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,El Paso,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,El Paso,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,El Paso,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,El Paso,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,El Paso,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,El Paso,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,El Paso,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,El Paso,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,El Paso,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,El Paso,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Elbert,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Elbert,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Elbert,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Elbert,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Elbert,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Elbert,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Elbert,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Elbert,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Elbert,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Elbert,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Elbert,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Elbert,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Elbert,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Elbert,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Elbert,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Elbert,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Elbert,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Elbert,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Elbert,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Elbert,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Fremont,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Fremont,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Fremont,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Fremont,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Fremont,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,2,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Fremont,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Fremont,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core South (HMO),HMO,No,,Enhanced Alternative,H0630,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Fremont,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,023,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Fremont,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Fremont,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Fremont,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Fremont,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Fremont,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Fremont,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice South (PPO),Local PPO,No,,Enhanced Alternative,H3138,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Fremont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Fremont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Fremont,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Fremont,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Fremont,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Fremont,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Fremont,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Fremont,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Fremont,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Fremont,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Fremont,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Fremont,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Fremont,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Garfield,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Garfield,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Garfield,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Gilpin,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Gilpin,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Gilpin,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Gilpin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Gilpin,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Gilpin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Gilpin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Gilpin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Gilpin,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Gilpin,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Gilpin,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Gilpin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Gilpin,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Gilpin,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Gilpin,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Gilpin,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Gilpin,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Gilpin,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Gilpin,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Gilpin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Gilpin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Gilpin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Gilpin,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Gilpin,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Grand,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Grand,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Grand,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Grand,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Grand,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Grand,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Grand,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Grand,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Grand,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Grand,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Gunnison,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Gunnison,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Gunnison,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Gunnison,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Gunnison,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Gunnison,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Gunnison,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Gunnison,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Hinsdale,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Hinsdale,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Hinsdale,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Hinsdale,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Hinsdale,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Hinsdale,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Hinsdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Hinsdale,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Huerfano,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Huerfano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Huerfano,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Huerfano,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Huerfano,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Huerfano,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Huerfano,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Huerfano,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Huerfano,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Huerfano,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Huerfano,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Huerfano,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Huerfano,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Huerfano,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Huerfano,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Huerfano,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Huerfano,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Jackson,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Jackson,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Jackson,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Jackson,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jackson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jackson,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Jackson,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Jackson,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Jackson,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Jackson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Jackson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Jackson,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jackson,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jackson,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-063 (HMO),HMO,No,,Enhanced Alternative,H0028,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Jefferson,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,007,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care CO-001P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Jefferson,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Jefferson,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Jefferson,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Jefferson,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Jefferson,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Jefferson,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Jefferson,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Jefferson,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,028,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Colorado,Jefferson,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Jefferson,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Jefferson,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Jefferson,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3419,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Jefferson,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO),HMO,No,,Enhanced Alternative,H3419,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Jefferson,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3419,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Jefferson,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Jefferson,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Jefferson,Elevate Medicare Advantage,Local CCP,Elevate Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5608,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Jefferson,Elevate Medicare Advantage,Local CCP,Elevate Medicare Select (HMO),HMO,No,,Enhanced Alternative,H5608,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Colorado,Jefferson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Jefferson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Jefferson,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Jefferson,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Jefferson,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Kit Carson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,La Plata,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,La Plata,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,La Plata,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,La Plata,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,La Plata,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,La Plata,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,La Plata,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,La Plata,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,La Plata,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,La Plata,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,La Plata,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,La Plata,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,La Plata,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,La Plata,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Lake,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Lake,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Lake,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Lake,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Lake,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Larimer,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Larimer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Larimer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Larimer,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Larimer,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Larimer,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core North (HMO),HMO,No,,Enhanced Alternative,H0630,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Larimer,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver North (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,021,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Larimer,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze North (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Larimer,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Larimer,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Larimer,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Larimer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Larimer,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Larimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Larimer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Larimer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Larimer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Larimer,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Larimer,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Larimer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Larimer,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Larimer,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Larimer,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Larimer,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Larimer,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Las Animas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Las Animas,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Las Animas,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Las Animas,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Las Animas,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Las Animas,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Las Animas,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Lincoln,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Lincoln,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Lincoln,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Lincoln,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Lincoln,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Lincoln,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Lincoln,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Lincoln,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Lincoln,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Logan,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Logan,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Logan,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Logan,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Logan,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Mesa,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Mesa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Mesa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Mesa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Mesa,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Mesa,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Mesa,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Mesa,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Mesa,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Mesa,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Mesa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Mesa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Mesa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Mesa,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Mesa,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Mesa,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Mesa,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Mesa,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Mesa,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Mesa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Mesa,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Mesa,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Mineral,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Mineral,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Mineral,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Mineral,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Mineral,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Mineral,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Mineral,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Mineral,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Moffat,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Moffat,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Moffat,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Montezuma,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Montezuma,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Montezuma,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Montezuma,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Montezuma,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Montezuma,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Montezuma,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montezuma,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Montezuma,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Montezuma,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montezuma,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Montezuma,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montezuma,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Montrose,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Montrose,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Montrose,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Montrose,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Montrose,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montrose,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Montrose,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Montrose,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montrose,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Montrose,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Montrose,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Morgan,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Morgan,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Morgan,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Morgan,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Morgan,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Morgan,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Morgan,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Otero,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Otero,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Otero,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Otero,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Otero,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Otero,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Otero,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Ouray,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Ouray,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Ouray,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Ouray,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Ouray,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Ouray,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Ouray,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Ouray,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Park,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Park,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Park,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Park,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core DM (HMO),HMO,No,,Enhanced Alternative,H0630,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Park,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,014,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Park,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,015,0,,,$0.00 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Park,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,016,0,,,$128.40 ,$52.60 ,$0.00 ,$52.60 ,$6.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Park,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze DM (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Park,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Park,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Park,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Park,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice DM (PPO),Local PPO,No,,Enhanced Alternative,H3138,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Park,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Park,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Park,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Park,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Park,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Park,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Park,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Park,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Park,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Park,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Devoted Health,Local CCP,Devoted GIVEBACK Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Park,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Pitkin,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Pitkin,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Pitkin,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Pueblo,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Pueblo,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Pueblo,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,2,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Pueblo,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Pueblo,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core South (HMO),HMO,No,,Enhanced Alternative,H0630,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Pueblo,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,023,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Pueblo,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Pueblo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0630,024,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Colorado,Pueblo,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Pueblo,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Pueblo,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Pueblo,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Pueblo,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Pueblo,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Pueblo,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Pueblo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Pueblo,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice South (PPO),Local PPO,No,,Enhanced Alternative,H3138,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Pueblo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Pueblo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Pueblo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Pueblo,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Pueblo,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Pueblo,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Pueblo,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Pueblo,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Pueblo,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Pueblo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Pueblo,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Pueblo,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Pueblo,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Pueblo,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Pueblo,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Rio Blanco,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Rio Blanco,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Rio Blanco,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Rio Blanco,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Rio Blanco,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Rio Blanco,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Rio Blanco,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Rio Blanco,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Rio Grande,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Rio Grande,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Rio Grande,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Rio Grande,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Rio Grande,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Rio Grande,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Rio Grande,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Rio Grande,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Routt,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Routt,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Routt,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Routt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Routt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Saguache,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Saguache,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Saguache,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,Saguache,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Saguache,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Saguache,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Saguache,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Saguache,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Saguache,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Saguache,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Saguache,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Saguache,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Saguache,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,San Juan,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,San Juan,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,San Juan,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,San Juan,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,San Juan,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,San Juan,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,San Juan,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,San Juan,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,San Miguel,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,San Miguel,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,San Miguel,UnitedHealthcare,Local CCP,UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2582,005,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Colorado,San Miguel,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,San Miguel,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,San Miguel,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,San Miguel,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,San Miguel,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Summit,UnitedHealthcare,Local CCP,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2582,002,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Colorado,Summit,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Summit,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Summit,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Summit,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Summit,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Teller,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,2,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Teller,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Teller,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core South (HMO),HMO,No,,Enhanced Alternative,H0630,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Teller,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,023,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Teller,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Teller,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Teller,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Teller,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Teller,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Teller,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Colorado,Teller,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2406,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,111,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Teller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2577,023,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Teller,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Choice South (PPO),Local PPO,No,,Enhanced Alternative,H3138,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Teller,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Teller,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Teller,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Elite 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Teller,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Teller,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Teller,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Teller,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Teller,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Teller,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Teller,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Washington,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Washington,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Washington,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Washington,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Washington,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Washington,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Weld,Humana,Local CCP,Humana Gold Plus H0028-025 (HMO),HMO,No,,Enhanced Alternative,H0028,025,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Weld,Humana,Local CCP,Humana Gold Plus H0028-047 (HMO),HMO,No,,Enhanced Alternative,H0028,047,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Colorado,Weld,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Weld,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Weld,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0363,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,034,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,036,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Colorado,Weld,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Weld,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Core North (HMO),HMO,No,,Enhanced Alternative,H0630,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Weld,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Silver North (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,021,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Weld,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Bronze North (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0630,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Colorado,Weld,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Weld,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,009,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Weld,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,010,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Weld,UnitedHealthcare,Local CCP,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,007,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Colorado,Weld,UnitedHealthcare,Local CCP,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.5
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2577,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Weld,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2577,022,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Colorado,Weld,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Weld,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,014,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Colorado,Weld,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,029,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Elite 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Premier 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,012,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Colorado,Weld,Devoted Health,Local CCP,Devoted CHOICE Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Colorado (PPO),Local PPO,No,,Enhanced Alternative,H4808,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,1,,,$19.70 ,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,Humana Value Plus H5216-195 (PPO),Local PPO,No,,Basic Alternative,H5216,195,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,HumanaChoice H5216-261 (PPO),Local PPO,No,,Enhanced Alternative,H5216,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,267,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Colorado,Weld,Humana,Local CCP,HumanaChoice H5216-333 (PPO),Local PPO,No,,Enhanced Alternative,H5216,333,0,,,$53.20 ,$48.80 ,$0.00 ,$48.80 ,$2.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,250,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Colorado,Weld,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,443,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Colorado,Weld,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H6379,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Colorado,Weld,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6379,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Colorado,Weld,Devoted Health,Local CCP,Devoted CORE Colorado (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7147,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Devoted Health,Local CCP,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,003,0,,Yes,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Devoted Health,Local CCP,Devoted DUAL Colorado (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7147,007,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Colorado,Weld,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Colorado,Weld,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,045,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,046,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,UHC Dual Complete CO-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0624,001,0,,Yes,$0.00 ,$46.60 ,$0.00 ,$46.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Colorado,Yuma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CO-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S2893,001,0,,,,$53.40 ,$0.00 ,$53.40 ,$9.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Connecticut,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2893,003,0,,,,$113.10 ,$42.70 ,$155.80 ,$112.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Connecticut,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,076,0,Yes,Yes,,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Connecticut,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,137,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Connecticut,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,205,0,Yes,,,$35.80 ,$43.00 ,$78.80 ,$43.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Connecticut,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,004,0,Yes,,,$50.90 ,$0.00 ,$50.90 ,$7.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,005,0,Yes,,,$53.50 ,$57.00 ,$110.50 ,$67.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,177,0,Yes,,,$13.30 ,$2.40 ,$15.70 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,008,0,Yes,,,$54.30 ,$0.00 ,$54.30 ,$10.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,247,0,Yes,,,$78.70 ,$11.90 ,$90.60 ,$47.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,352,0,Yes,,,$3.80 ,$18.10 ,$21.90 ,$18.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,002,0,Yes,,,$81.10 ,$29.10 ,$110.20 ,$66.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Connecticut,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,102,0,Yes,,,$67.50 ,$0.00 ,$67.50 ,$24.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Connecticut,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,149,0,Yes,,,$86.00 ,$22.40 ,$108.40 ,$64.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Connecticut,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,182,0,Yes,,,$49.90 ,$4.70 ,$54.60 ,$11.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Connecticut,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,348,0,Yes,Yes,,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,385,0,Yes,,,$67.10 ,$5.40 ,$72.50 ,$29.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Connecticut,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,002,0,,,,$110.80 ,$0.00 ,$110.80 ,$67.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Connecticut,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,072,0,,,,$92.40 ,$10.00 ,$102.40 ,$58.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Connecticut,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,105,0,,,,$2.40 ,$25.50 ,$27.90 ,$25.50 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Care Advantage CT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,009,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Fairfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Fairfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Fairfield,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,2,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$7.50 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Fairfield,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,Fairfield,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Fairfield,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Fairfield,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Fairfield,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Hartford,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Care Advantage CT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,009,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Hartford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Hartford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Hartford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Hartford,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Hartford,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Hartford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Hartford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Hartford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Hartford,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Hartford,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Hartford,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Hartford,Humana,Local CCP,HumanaChoice H5216-288 (PPO),Local PPO,No,,Enhanced Alternative,H5216,288,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Hartford,Humana,Local CCP,HumanaChoice H5216-289 (PPO),Local PPO,No,,Enhanced Alternative,H5216,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Hartford,Humana,Local CCP,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,290,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Connecticut,Hartford,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Hartford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,Hartford,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England No Premium (HMO),HMO,No,,Enhanced Alternative,H6408,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Hartford,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H6408,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Hartford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Hartford,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Hartford,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Hartford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Hartford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Hartford,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Choice (PPO),Local PPO,No,,Enhanced Alternative,H8998,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Hartford,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Litchfield,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Litchfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Litchfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Litchfield,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Litchfield,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Litchfield,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Litchfield,Humana,Local CCP,HumanaChoice H5216-288 (PPO),Local PPO,No,,Enhanced Alternative,H5216,288,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Litchfield,Humana,Local CCP,HumanaChoice H5216-289 (PPO),Local PPO,No,,Enhanced Alternative,H5216,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Litchfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,290,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Connecticut,Litchfield,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Litchfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Litchfield,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England No Premium (HMO),HMO,No,,Enhanced Alternative,H6408,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Litchfield,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H6408,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Litchfield,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Litchfield,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Litchfield,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Litchfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Litchfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Litchfield,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Choice (PPO),Local PPO,No,,Enhanced Alternative,H8998,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Litchfield,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Middlesex,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Middlesex,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Middlesex,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Middlesex,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Middlesex,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Middlesex,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,Middlesex,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Middlesex,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Middlesex,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Middlesex,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New Haven,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,New Haven,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,New Haven,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,New Haven,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,New Haven,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New Haven,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New Haven,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,New Haven,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,New Haven,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,New Haven,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,New Haven,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,2,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$7.50 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New Haven,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New Haven,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,New Haven,Humana,Local CCP,HumanaChoice H5216-288 (PPO),Local PPO,No,,Enhanced Alternative,H5216,288,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,New Haven,Humana,Local CCP,HumanaChoice H5216-289 (PPO),Local PPO,No,,Enhanced Alternative,H5216,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,New Haven,Humana,Local CCP,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,290,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Connecticut,New Haven,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,New Haven,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,New Haven,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England No Premium (HMO),HMO,No,,Enhanced Alternative,H6408,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,New Haven,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H6408,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,New Haven,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New Haven,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New Haven,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New Haven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,New Haven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,New Haven,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Choice (PPO),Local PPO,No,,Enhanced Alternative,H8998,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,New Haven,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New London,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,New London,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,New London,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,New London,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,New London,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New London,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,New London,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,New London,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,New London,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,New London,Cigna Healthcare,Local CCP,Cigna TotalCare Select Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2752,003,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,2,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$7.50 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New London,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,New London,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,New London,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,New London,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,New London,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New London,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,054,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New London,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Connecticut,New London,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,New London,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,New London,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Tolland,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Tolland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Tolland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Tolland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Tolland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Tolland,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Tolland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Tolland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Tolland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Tolland,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Tolland,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Tolland,Humana,Local CCP,HumanaChoice H5216-288 (PPO),Local PPO,No,,Enhanced Alternative,H5216,288,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Tolland,Humana,Local CCP,HumanaChoice H5216-289 (PPO),Local PPO,No,,Enhanced Alternative,H5216,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Connecticut,Tolland,Humana,Local CCP,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,290,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Connecticut,Tolland,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Tolland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5854,012,0,,,,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$310.00 ,1,,,4.0,4.5,4.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5854,014,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Connecticut,Tolland,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England No Premium (HMO),HMO,No,,Enhanced Alternative,H6408,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Tolland,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H6408,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Tolland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Tolland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Tolland,Trinity Health Plan Of New England,Local CCP,Trinity Health Plan Of New England Choice (PPO),Local PPO,No,,Enhanced Alternative,H8998,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Connecticut,Tolland,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,014,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,059,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Windham,CarePartners of Connecticut,Local CCP,CarePartners Access (PPO),Local PPO,No,,Enhanced Alternative,H0342,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Connecticut,Windham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,005,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Windham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0712,019,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.5
Connecticut,Windham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0712,020,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$535.00 ,1,,,3.0,3.0,3.5
Connecticut,Windham,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,029,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,030,0,,,$57.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,031,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Windham,UnitedHealthcare,Local CCP,UHC Medicare Advantage CT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Connecticut,Windham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Windham,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H1914,002,0,,,$0.00 ,($3.10),$3.10 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Connecticut,Windham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1914,006,0,,Yes,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2836,005,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$95.00 ,1,,Yes,3.0,3.5,3.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2836,006,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Choice Dual (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,001,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3276,003,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Passage Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Flex Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,011,2,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$7.50 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Choice Plan 3 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Flex Plan 2 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,015,0,,,$36.80 ,$78.20 ,$0.00 ,$78.20 ,$34.70 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Windham,ConnectiCare,Local CCP,ConnectiCare Choice Plan 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3528,016,0,,,$96.10 ,$63.90 ,$0.00 ,$63.90 ,$20.40 ,$300.00 ,1,,Yes,4.0,3.5,3.5
Connecticut,Windham,CarePartners of Connecticut,Local CCP,CarePartners of CT CareAdvantage Preferred (HMO),HMO,No,,Enhanced Alternative,H5273,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,013,0,,,$39.50 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Essential Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,446,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,017,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Windham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5793,020,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,008,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5854,009,0,,,$4.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$380.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H5854,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,4.5,4.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5854,011,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5854,013,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Connecticut,Windham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Windham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC CT-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Connecticut,Windham,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Delaware,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,079,0,Yes,Yes,,$37.40 ,$0.00 ,$37.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Delaware,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,140,0,Yes,,,($17.50),$17.90 ,$0.40 ,$0.40 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Delaware,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,208,0,Yes,,,$32.80 ,$46.10 ,$78.90 ,$46.10 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Delaware,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,010,0,Yes,Yes,,$42.50 ,$0.00 ,$42.50 ,$1.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,011,0,Yes,,,$61.70 ,$51.70 ,$113.40 ,$72.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,180,0,Yes,,,$10.00 ,$2.40 ,$12.40 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,214,0,Yes,Yes,,$41.40 ,$0.00 ,$41.40 ,$0.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,250,0,Yes,,,$58.20 ,$10.90 ,$69.10 ,$27.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,355,0,Yes,,,$2.00 ,$18.00 ,$20.00 ,$18.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,004,0,Yes,,,$71.00 ,$32.00 ,$103.00 ,$61.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Delaware,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,103,0,Yes,,,$44.40 ,$0.00 ,$44.40 ,$3.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Delaware,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,151,0,Yes,,,$77.10 ,$27.50 ,$104.60 ,$63.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Delaware,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,184,0,Yes,,,$38.30 ,$5.20 ,$43.50 ,$5.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Delaware,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,350,0,Yes,,,$62.40 ,$0.00 ,$62.40 ,$21.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,387,0,Yes,,,$47.70 ,$6.50 ,$54.20 ,$12.90 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Delaware,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,004,0,,,,$89.10 ,$0.00 ,$89.10 ,$47.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Delaware,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,074,0,,,,$71.40 ,$13.20 ,$84.60 ,$43.30 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Delaware,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,107,0,,,,($0.80),$27.10 ,$26.30 ,$26.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Delaware,Kent,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Delaware,Kent,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0738,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,029,0,,,$48.70 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,039,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,1,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,Kent,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Delaware,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,100,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete DE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete DE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,013,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,102,0,,,$27.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,063,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Delaware,Kent,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4661,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$100.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Kent,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,002,0,,Yes,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Kent,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,003,0,,Yes,$0.00 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Kent,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Kent,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Kent,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,2,,,$23.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Delaware,Kent,Humana,Local CCP,HumanaChoice H5216-390 (PPO),Local PPO,No,,Enhanced Alternative,H5216,390,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,142,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,095,0,,,$28.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,262,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,Kent,Aetna Medicare,Local CCP,Aetna Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5521,397,0,,,$16.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,Kent,Humana,Local CCP,Humana Gold Plus H6622-010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Kent,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,051,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna True Choice DE Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,124,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Kent,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,125,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Kent,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H8166,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Kent,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H8166,002,0,,,$0.00 ,$32.30 ,$6.70 ,$39.00 ,$6.70 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Kent,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H8166,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,New Castle,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Delaware,New Castle,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0738,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,029,0,,,$48.70 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,039,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,1,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,New Castle,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Delaware,New Castle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,New Castle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,100,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,New Castle,UnitedHealthcare,Local CCP,UHC Dual Complete DE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,New Castle,UnitedHealthcare,Local CCP,UHC Dual Complete DE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,013,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,102,0,,,$27.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,063,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Delaware,New Castle,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4661,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$100.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,New Castle,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,002,0,,Yes,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,New Castle,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,003,0,,Yes,$0.00 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,New Castle,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,New Castle,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,New Castle,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,2,,,$23.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Delaware,New Castle,Humana,Local CCP,HumanaChoice H5216-390 (PPO),Local PPO,No,,Enhanced Alternative,H5216,390,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,New Castle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,142,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,095,0,,,$28.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,262,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,New Castle,Aetna Medicare,Local CCP,Aetna Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5521,397,0,,,$16.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,New Castle,Humana,Local CCP,Humana Gold Plus H6622-010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,New Castle,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,051,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna True Choice DE Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,124,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,New Castle,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,125,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,New Castle,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H8166,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,New Castle,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H8166,002,0,,,$0.00 ,$32.30 ,$6.70 ,$39.00 ,$6.70 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,New Castle,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H8166,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Sussex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Delaware,Sussex,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0738,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,029,0,,,$48.70 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,039,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,1,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Delaware,Sussex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Delaware,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,100,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Delaware,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete DE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete DE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,013,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,102,0,,,$27.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,063,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Delaware,Sussex,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4661,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$100.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Sussex,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,002,0,,Yes,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Sussex,Wellcare,Local CCP,Wellcare Dual Liberty (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4661,003,0,,Yes,$0.00 ,$20.10 ,$0.00 ,$20.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Delaware,Sussex,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Sussex,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Sussex,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,2,,,$23.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Delaware,Sussex,Humana,Local CCP,HumanaChoice H5216-390 (PPO),Local PPO,No,,Enhanced Alternative,H5216,390,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Delaware,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,142,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,095,0,,,$28.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,262,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5521,397,0,,,$16.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Delaware,Sussex,Humana,Local CCP,Humana Gold Plus H6622-010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Sussex,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,051,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna True Choice DE Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,124,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Sussex,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,125,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Delaware,Sussex,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H8166,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Sussex,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H8166,002,0,,,$0.00 ,$32.30 ,$6.70 ,$39.00 ,$6.70 ,$0.00 ,,,,4.0,4.0,4.0
Delaware,Sussex,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H8166,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
District of Columbia,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,079,0,Yes,Yes,,$37.40 ,$0.00 ,$37.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
District of Columbia,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,140,0,Yes,,,($17.50),$17.90 ,$0.40 ,$0.40 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
District of Columbia,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,208,0,Yes,,,$32.80 ,$46.10 ,$78.90 ,$46.10 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
District of Columbia,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,010,0,Yes,Yes,,$42.50 ,$0.00 ,$42.50 ,$1.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,011,0,Yes,,,$61.70 ,$51.70 ,$113.40 ,$72.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,180,0,Yes,,,$10.00 ,$2.40 ,$12.40 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,214,0,Yes,Yes,,$41.40 ,$0.00 ,$41.40 ,$0.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,250,0,Yes,,,$58.20 ,$10.90 ,$69.10 ,$27.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,355,0,Yes,,,$2.00 ,$18.00 ,$20.00 ,$18.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,004,0,Yes,,,$71.00 ,$32.00 ,$103.00 ,$61.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
District of Columbia,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,103,0,Yes,,,$44.40 ,$0.00 ,$44.40 ,$3.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
District of Columbia,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,151,0,Yes,,,$77.10 ,$27.50 ,$104.60 ,$63.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
District of Columbia,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,184,0,Yes,,,$38.30 ,$5.20 ,$43.50 ,$5.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
District of Columbia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,350,0,Yes,,,$62.40 ,$0.00 ,$62.40 ,$21.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,387,0,Yes,,,$47.70 ,$6.50 ,$54.20 ,$12.90 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
District of Columbia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,004,0,,,,$89.10 ,$0.00 ,$89.10 ,$47.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
District of Columbia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,074,0,,,,$71.40 ,$13.20 ,$84.60 ,$43.30 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
District of Columbia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,107,0,,,,($0.80),$27.10 ,$26.30 ,$26.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
District of Columbia,District of Columbia,Cigna Healthcare,Local CCP,Cigna Preferred DC Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
District of Columbia,District of Columbia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
District of Columbia,District of Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High DC (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,001,0,,,$61.20 ,$63.80 ,$0.00 ,$63.80 ,$22.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
District of Columbia,District of Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard DC (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,003,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
District of Columbia,District of Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value DC (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,UHC Dual Choice DC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,053,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC DC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,082,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,UHC Dual Choice DC-Q001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,099,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
District of Columbia,District of Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,095,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
District of Columbia,District of Columbia,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
District of Columbia,District of Columbia,Humana,Local CCP,HumanaChoice H5216-383 (PPO),Local PPO,No,,Enhanced Alternative,H5216,383,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
District of Columbia,District of Columbia,Humana,Local CCP,HumanaChoice H5216-389 (PPO),Local PPO,No,,Enhanced Alternative,H5216,389,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
District of Columbia,District of Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,015,0,,,$8.90 ,$49.10 ,$0.00 ,$49.10 ,$7.80 ,$300.00 ,1,,Yes,4.5,4.0,4.0
District of Columbia,District of Columbia,UnitedHealthcare,Local CCP,UHC Dual Choice DC-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7464,010,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
District of Columbia,District of Columbia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,124,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,083,0,Yes,Yes,,$37.40 ,$0.00 ,$37.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Florida,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,146,0,Yes,,,($20.10),$20.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Florida,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,214,0,Yes,,,$32.80 ,$46.10 ,$78.90 ,$46.10 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Florida,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,022,0,Yes,,,$52.50 ,$0.00 ,$52.50 ,$14.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,023,0,Yes,,,$41.00 ,$60.80 ,$101.80 ,$64.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,186,0,Yes,,,$11.40 ,$1.90 ,$13.30 ,$1.90 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,053,0,Yes,,,$59.70 ,$0.00 ,$59.70 ,$22.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,256,0,Yes,,,$85.00 ,$9.80 ,$94.80 ,$57.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,361,0,Yes,,,($1.00),$17.80 ,$16.80 ,$16.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,010,0,Yes,,,$71.40 ,$32.10 ,$103.50 ,$65.80 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Florida,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,105,0,Yes,,,$81.70 ,$0.00 ,$81.70 ,$44.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Florida,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,157,0,Yes,,,$83.20 ,$31.90 ,$115.10 ,$77.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Florida,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,190,0,Yes,,,$39.70 ,$6.30 ,$46.00 ,$8.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Florida,(All Counties),Florida Blue,PDP,BlueMedicare Premier Rx (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5904,001,0,,,,$76.70 ,$0.00 ,$76.70 ,$39.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Florida Blue,PDP,BlueMedicare Complete Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5904,002,0,,,,$124.10 ,$57.50 ,$181.60 ,$143.90 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
Florida,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,356,0,Yes,,,$80.60 ,$0.00 ,$80.60 ,$42.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Florida,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,383,0,Yes,,,$50.40 ,$6.80 ,$57.20 ,$19.50 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Florida,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,010,0,,,,$103.80 ,$0.00 ,$103.80 ,$66.10 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Florida,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,080,0,,,,$109.60 ,$9.00 ,$118.60 ,$80.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Florida,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,113,0,,,,($3.60),$27.80 ,$24.20 ,$24.20 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Florida,Alachua,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Alachua,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Alachua,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Alachua,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Alachua,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,189,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Alachua,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,190,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Alachua,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Alachua,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Alachua,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Alachua,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Alachua,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Alachua,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Alachua,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Alachua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Alachua,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Alachua,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Alachua,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Alachua,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Alachua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Alachua,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Alachua,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Alachua,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Alachua,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Alachua,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Alachua,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Alachua,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Alachua,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Alachua,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Alachua,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Alachua,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Alachua,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Alachua,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Alachua,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Alachua,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Alachua,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Alachua,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Alachua,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Baker,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Baker,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Baker,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Baker,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Baker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Baker,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Baker,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Baker,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Baker,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Baker,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Baker,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Baker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Baker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Baker,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Baker,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Baker,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Baker,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Baker,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Baker,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Baker,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Baker,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Baker,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Baker,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Baker,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Baker,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Baker,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Baker,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Baker,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Bay,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Bay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Bay,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bay,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Bay,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus H1036-143 (HMO),HMO,No,,Enhanced Alternative,H1036,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,214,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus H1036-271 (HMO),HMO,No,,Enhanced Alternative,H1036,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Bay,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Bay,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Bay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Bay,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Bay,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Bay,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Bay,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Bay,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,013,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Bay,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Bay,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,042,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Bay,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Bay,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Bay,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Bay,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Bay,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Bay,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Bay,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Bay,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Bay,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Bay,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Bay,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Bradford,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bradford,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bradford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,190,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Bradford,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Bradford,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bradford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Bradford,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bradford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bradford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Bradford,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Bradford,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Bradford,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Bradford,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Bradford,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Bradford,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Bradford,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Bradford,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Brevard,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Brevard,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareOne Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,139,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Brevard,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Brevard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Brevard,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Brevard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Brevard,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Brevard,Florida Blue HMO,Local CCP,FHCP Medicare Premier Plus (HMO),HMO,No,,Enhanced Alternative,H1035,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,Florida Blue HMO,Local CCP,FHCP Medicare Rx Savings (HMO),HMO,No,,Enhanced Alternative,H1035,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,4.0,4.0,4.0
Florida,Brevard,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Brevard,Florida Blue HMO,Local CCP,FHCP Medicare Premier Advantage (HMO),HMO,No,,Enhanced Alternative,H1035,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Brevard,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Brevard,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Brevard,"Health First Health Plans, Inc.",Local CCP,Health First Classic Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1099,001,0,,,$32.40 ,$62.60 ,$0.00 ,$62.60 ,$24.90 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,"Health First Health Plans, Inc.",Local CCP,Health First Value Plan (HMO),HMO,No,,Enhanced Alternative,H1099,006,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,"Health First Health Plans, Inc.",Local CCP,Health First Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H1099,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Brevard,Devoted Health,Local CCP,Devoted DUAL East Coast Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,039,0,,,$0.00 ,$16.10 ,$0.00 ,$16.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Brevard,Devoted Health,Local CCP,Devoted ESSENTIALS East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Brevard,Devoted Health,Local CCP,Devoted CORE East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Brevard,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Brevard,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Brevard,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Brevard,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Brevard,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Brevard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Brevard,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Brevard,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Brevard,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Brevard,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Brevard,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,031,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Brevard,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,045,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,108,0,,,$0.00 ,($21.10),$21.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Brevard,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,109,0,,,$30.20 ,$12.80 ,$0.00 ,$12.80 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Brevard,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Brevard,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,433,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Brevard,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Brevard,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Brevard,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Brevard,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Brevard,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Brevard,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Brevard,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Brevard,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK East Coast Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Brevard,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Brevard,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Brevard,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Brevard,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Brevard,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Brevard,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Brevard,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Brevard,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Broward,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Broward,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Broward,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Broward,Solis Health Plans,Local CCP,Solis Guardian Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0982,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Florida,Broward,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Broward,AvMed Medicare,Local CCP,AvMed Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H1016,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Broward,AvMed Medicare,Local CCP,AvMed Medicare Circle (HMO),HMO,No,,Enhanced Alternative,H1016,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.0,3.5
Florida,Broward,AvMed Medicare,Local CCP,AvMed Medicare Access (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1016,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Broward,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.0,3.5
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,023,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,130,0,,,$0.00 ,($0.20),$0.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,145,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Broward,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Broward,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Broward,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Broward,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,196,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Broward,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Broward,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Broward,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Broward,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,028,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus H1036-065C (HMO),HMO,No,,Enhanced Alternative,H1036,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,077,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,297,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,304,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Broward,Humana,Local CCP,Humana Gold Plus H1036-305 (HMO),HMO,No,,Enhanced Alternative,H1036,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Broward,UnitedHealthcare,Local CCP,UHC Preferred Medicare Advantage FL-0002 (HMO),HMO,No,,Enhanced Alternative,H1045,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Broward,UnitedHealthcare,Local CCP,UHC Preferred Dual Complete FL-D001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1045,012,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Broward,Devoted Health,Local CCP,Devoted CORE Broward (HMO),HMO,No,,Enhanced Alternative,H1290,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Broward,Devoted Health,Local CCP,Devoted ESSENTIALS Broward (HMO),HMO,No,,Enhanced Alternative,H1290,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Broward,Devoted Health,Local CCP,Devoted DUAL PLUS Broward (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Broward,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,2,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Broward,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,017,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,043,0,,,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Broward,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Broward,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Broward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0026 (PPO),Local PPO,No,,Enhanced Alternative,H2406,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Broward,"Doctors HealthCare Plans, Inc.",Local CCP,DrMax-B (HMO),HMO,No,,Enhanced Alternative,H4140,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Florida,Broward,"Doctors HealthCare Plans, Inc.",Local CCP,DrPlus-B (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4140,010,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Florida,Broward,"Doctors HealthCare Plans, Inc.",Local CCP,DrValue-B (HMO),HMO,No,,Enhanced Alternative,H4140,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Florida,Broward,Humana,Local CCP,HumanaChoice Florida H5216-068 (PPO),Local PPO,No,,Enhanced Alternative,H5216,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Broward,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Broward,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Broward,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,049,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Broward,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Broward,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,056,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Broward,UnitedHealthcare,Local CCP,UHC MedicareMax Medicare Advantage FL-0029 (HMO),HMO,No,,Enhanced Alternative,H5420,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,UnitedHealthcare,Local CCP,UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5420,006,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Broward,UnitedHealthcare,Local CCP,UHC MedicareMax Complete Care FL-0030 (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5420,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Broward,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Broward,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Broward,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Broward,"HealthSun Health Plans, Inc.",Local CCP,HealthSun MediMax (HMO),HMO,No,,Enhanced Alternative,H5431,006,0,,,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,1,,,4.5,4.5,5.0
Florida,Broward,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plan (HMO),HMO,No,,Enhanced Alternative,H5431,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plus (HMO),HMO,No,,Enhanced Alternative,H5431,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,"HealthSun Health Plans, Inc.",Local CCP,HealthSun MediSun Extra (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5431,019,0,,,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,1,,,4.5,4.5,5.0
Florida,Broward,"HealthSun Health Plans, Inc.",Local CCP,HealthSun VitalCare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5431,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Broward,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Broward,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,076,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply More Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,125,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Broward,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Broward,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,432,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Broward,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Broward,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Broward,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Broward,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Broward,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6378,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Broward,Humana,Local CCP,HumanaChoice Florida H7284-008 (PPO),Local PPO,No,,Enhanced Alternative,H7284,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Broward,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Broward,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Broward,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Broward,Devoted Health,Local CCP,Devoted CHOICE South Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Broward,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Broward,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Broward,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Broward,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Broward,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Broward,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Broward,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Broward,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Calhoun,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Calhoun,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Calhoun,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Calhoun,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Calhoun,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Calhoun,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Calhoun,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Calhoun,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Calhoun,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Calhoun,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Calhoun,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Calhoun,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Calhoun,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Calhoun,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Calhoun,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Charlotte,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Charlotte,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Charlotte,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Charlotte,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Charlotte,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Charlotte,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Charlotte,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Charlotte,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Charlotte,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Charlotte,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus H1036-217 (HMO),HMO,No,,Enhanced Alternative,H1036,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus H1036-278 (HMO),HMO,No,,Enhanced Alternative,H1036,278,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,285,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,310,0,,,$0.00 ,($24.50),$24.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,311,0,,,$0.00 ,($34.70),$34.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Charlotte,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Charlotte,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO),HMO,No,,Enhanced Alternative,H1609,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,056,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Charlotte,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Charlotte,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Charlotte,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Charlotte,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Charlotte,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Charlotte,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Charlotte,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Charlotte,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Charlotte,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Charlotte,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,111,0,,,$25.70 ,$17.30 ,$0.00 ,$17.30 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Charlotte,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Charlotte,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Charlotte,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Charlotte,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Charlotte,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Charlotte,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Charlotte,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Charlotte,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Charlotte,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Charlotte,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Charlotte,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Charlotte,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Charlotte,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Charlotte,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Citrus,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Citrus,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Citrus,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Citrus,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Citrus,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus H1036-074 (HMO),HMO,No,,Enhanced Alternative,H1036,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus H1036-266 (HMO),HMO,No,,Enhanced Alternative,H1036,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Citrus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Citrus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Citrus,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Citrus,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,061,0,,,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Citrus,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Citrus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0023 (PPO),Local PPO,No,,Enhanced Alternative,H2406,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Citrus,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Citrus,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Ultimate Health Plans,Local CCP,Advantage Care CHF by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Citrus,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Citrus,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Citrus,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Citrus,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Citrus,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Citrus,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Citrus,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,093,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Citrus,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,099,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Citrus,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Citrus,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Citrus,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,377,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Plan (HMO),HMO,No,,Enhanced Alternative,H5594,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,028,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Plus Plan (HMO),HMO,No,,Enhanced Alternative,H5594,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,036,0,,,$0.00 ,($13.00),$13.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Citrus,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Citrus,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Citrus,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Citrus,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Citrus,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Citrus,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Citrus,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Clay,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Clay,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareOne Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Clay,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Clay,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Clay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Clay,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Clay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,205,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Clay,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Clay,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,031,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Clay,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Clay,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Clay,Devoted Health,Local CCP,Devoted DUAL Jacksonville (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,023,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Clay,Devoted Health,Local CCP,Devoted CORE Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Clay,Devoted Health,Local CCP,Devoted ESSENTIALS Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Clay,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,2,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Clay,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Clay,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Clay,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Clay,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Clay,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Clay,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Clay,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,031,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Clay,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Clay,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Clay,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,045,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Clay,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Clay,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Clay,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,111,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Clay,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Clay,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Clay,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Clay,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Clay,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Clay,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Clay,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Clay,Alignment Health Plan,Local CCP,Alignment Health Platinum + Walgreens (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9943,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9943,004,0,,,$0.00 ,($4.50),$4.50 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Clay,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Clay,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Clay,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Clay,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Clay,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Collier,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Collier,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Collier,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Collier,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Collier,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Collier,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Collier,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Collier,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Collier,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Collier,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus H1036-217 (HMO),HMO,No,,Enhanced Alternative,H1036,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus H1036-278 (HMO),HMO,No,,Enhanced Alternative,H1036,278,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,285,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,310,0,,,$0.00 ,($24.50),$24.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,311,0,,,$0.00 ,($34.70),$34.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Collier,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Collier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Collier,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Collier,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Collier,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Collier,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,056,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Collier,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Collier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Collier,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Collier,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Collier,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Collier,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Collier,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Collier,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Collier,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Collier,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Collier,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Collier,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,111,0,,,$25.70 ,$17.30 ,$0.00 ,$17.30 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Collier,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Collier,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Collier,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Collier,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Collier,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Collier,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Collier,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Collier,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Collier,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Collier,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Collier,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Collier,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Collier,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Collier,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Collier,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Collier,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Collier,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Collier,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Collier,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Collier,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Collier,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Columbia,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Columbia,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Columbia,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Columbia,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Columbia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Columbia,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Columbia,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Columbia,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Columbia,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Columbia,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Columbia,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Columbia,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Columbia,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Columbia,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Columbia,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,DeSoto,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,DeSoto,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,DeSoto,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,DeSoto,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus H1036-217 (HMO),HMO,No,,Enhanced Alternative,H1036,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus H1036-278 (HMO),HMO,No,,Enhanced Alternative,H1036,278,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,285,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,310,0,,,$0.00 ,($24.50),$24.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,311,0,,,$0.00 ,($34.70),$34.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,DeSoto,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,DeSoto,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0027 (PPO),Local PPO,No,,Enhanced Alternative,H2406,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,DeSoto,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,DeSoto,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,DeSoto,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,DeSoto,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,DeSoto,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,DeSoto,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,DeSoto,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,DeSoto,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,DeSoto,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,DeSoto,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Dixie,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Dixie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Dixie,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Dixie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Dixie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Dixie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Dixie,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Dixie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Dixie,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Dixie,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Dixie,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Dixie,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Dixie,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Dixie,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Dixie,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Dixie,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Dixie,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Duval,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Duval,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareOne Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Duval,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Duval,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Duval,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Duval,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Duval,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Duval,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,205,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Duval,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Duval,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,031,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Duval,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Duval,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Duval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Duval,Devoted Health,Local CCP,Devoted DUAL Jacksonville (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,023,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Duval,Devoted Health,Local CCP,Devoted CORE Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Duval,Devoted Health,Local CCP,Devoted ESSENTIALS Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Duval,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,2,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Duval,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Duval,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Duval,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Duval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Duval,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Duval,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Duval,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Duval,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,031,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Duval,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Duval,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Duval,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,045,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Duval,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Duval,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Duval,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Duval,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,111,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Duval,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Duval,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Duval,American Health Advantage of Florida,Local CCP,American Health Advantage of Florida (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6652,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Duval,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Duval,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Duval,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,115,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Duval,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Duval,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Duval,Alignment Health Plan,Local CCP,Alignment Health Platinum + Walgreens (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9943,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9943,004,0,,,$0.00 ,($4.50),$4.50 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Duval,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Duval,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Duval,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Duval,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Duval,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Duval,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Duval,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Duval,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Escambia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Escambia,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Escambia,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Escambia,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Escambia,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Escambia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Escambia,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Escambia,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Escambia,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Escambia,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,050,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus H1036-143 (HMO),HMO,No,,Enhanced Alternative,H1036,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,214,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus H1036-271 (HMO),HMO,No,,Enhanced Alternative,H1036,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Escambia,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Escambia,Devoted Health,Local CCP,Devoted DUAL PLUS Northwest Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1290,042,0,,Yes,$0.00 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Florida,Escambia,Devoted Health,Local CCP,Devoted DUAL Northwest Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1290,043,0,,Yes,$0.00 ,$26.30 ,$0.00 ,$26.30 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Florida,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,064,0,,,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Escambia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Escambia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Escambia,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,013,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Escambia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Escambia,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,042,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Escambia,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Escambia,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Escambia,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,435,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Escambia,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Escambia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Escambia,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Escambia,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Escambia,Devoted Health,Local CCP,Devoted CHOICE Northwest Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Florida,Escambia,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Northwest Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Escambia,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Escambia,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Escambia,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Escambia,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Escambia,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Escambia,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Escambia,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Escambia,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Flagler,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Flagler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Flagler,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Flagler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Flagler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,205,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Flagler,Florida Blue HMO,Local CCP,FHCP Medicare Rx Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1035,002,0,,,$0.00 ,$0.00 ,$49.00 ,$49.00 ,$49.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Flagler,Florida Blue HMO,Local CCP,FHCP Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H1035,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.0,4.0
Florida,Flagler,Florida Blue HMO,Local CCP,FHCP Medicare Rx Savings (HMO),HMO,No,,Enhanced Alternative,H1035,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,4.0,4.0,4.0
Florida,Flagler,Florida Blue HMO,Local CCP,FHCP Medicare Premier Advantage (HMO),HMO,No,,Enhanced Alternative,H1035,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus H1036-044 (HMO),HMO,No,,Enhanced Alternative,H1036,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus H1036-157 (HMO),HMO,No,,Enhanced Alternative,H1036,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,209,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,301,0,,,$0.00 ,($36.80),$36.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Flagler,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,315,0,,,$0.00 ,($4.40),$4.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Flagler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Flagler,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Flagler,"Health First Health Plans, Inc.",Local CCP,Health First Sunsaver Plan (HMO),HMO,No,,Enhanced Alternative,H1099,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Flagler,Devoted Health,Local CCP,Devoted DUAL Daytona (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,041,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Flagler,Devoted Health,Local CCP,Devoted ESSENTIALS Daytona (HMO),HMO,No,,Enhanced Alternative,H1290,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Flagler,Devoted Health,Local CCP,Devoted CORE Daytona (HMO),HMO,No,,Enhanced Alternative,H1290,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Flagler,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Flagler,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,055,0,,,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Flagler,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Flagler,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Flagler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Flagler,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Flagler,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Flagler,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Flagler,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,031,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Flagler,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,045,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Flagler,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Flagler,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Flagler,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Flagler,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Flagler,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Flagler,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Flagler,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Flagler,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Flagler,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Flagler,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Flagler,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Flagler,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Franklin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Franklin,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Franklin,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Franklin,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Franklin,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Franklin,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Franklin,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Franklin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Franklin,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Franklin,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Franklin,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Franklin,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Gadsden,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gadsden,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gadsden,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gadsden,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gadsden,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gadsden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gadsden,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Gadsden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Gadsden,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Gadsden,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gadsden,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gadsden,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gadsden,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Gadsden,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Gadsden,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Gadsden,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Gadsden,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Gadsden,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Gadsden,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Gilchrist,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gilchrist,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gilchrist,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gilchrist,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gilchrist,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gilchrist,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gilchrist,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Gilchrist,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Gilchrist,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Gilchrist,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Gilchrist,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Gilchrist,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Gilchrist,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Gilchrist,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Gilchrist,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Gilchrist,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Gilchrist,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Glades,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Glades,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Glades,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Glades,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Glades,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Glades,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,226,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Glades,Humana,Local CCP,Humana Gold Plus H1036-229 (HMO),HMO,No,,Enhanced Alternative,H1036,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Glades,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,292,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Glades,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,298,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Glades,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Glades,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Glades,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Glades,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Glades,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Glades,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Glades,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Glades,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Glades,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Glades,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Glades,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Glades,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Gulf,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gulf,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gulf,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gulf,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Gulf,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Gulf,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Gulf,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Gulf,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Gulf,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Gulf,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Gulf,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Gulf,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Gulf,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Gulf,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Gulf,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Hamilton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hamilton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hamilton,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hamilton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Hamilton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Hamilton,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Hamilton,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Hamilton,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Hamilton,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Hamilton,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Hamilton,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Hamilton,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Hardee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hardee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hardee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Hardee,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hardee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus H1036-230 (HMO),HMO,No,,Enhanced Alternative,H1036,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus H1036-266 (HMO),HMO,No,,Enhanced Alternative,H1036,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hardee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hardee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hardee,"Health First Health Plans, Inc.",Local CCP,Health First Sunsaver Plan (HMO),HMO,No,,Enhanced Alternative,H1099,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hardee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hardee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0027 (PPO),Local PPO,No,,Enhanced Alternative,H2406,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hardee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hardee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hardee,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Hardee,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Hardee,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Hardee,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Hardee,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Hardee,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Hardee,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Hardee,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Hardee,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Hardee,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Hendry,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hendry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hendry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Hendry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Hendry,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hendry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hendry,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hendry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hendry,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Hendry,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Hendry,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Hendry,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Hendry,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Hendry,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Hendry,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Hendry,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Hendry,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Hendry,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Hernando,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,103,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hernando,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hernando,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,142,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hernando,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Hernando,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hernando,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hernando,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Hernando,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Hernando,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hernando,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Hernando,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus H1036-025 (HMO),HMO,No,,Enhanced Alternative,H1036,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hernando,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hernando,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hernando,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hernando,Devoted Health,Local CCP,Devoted DUAL Tampa (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,024,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hernando,Devoted Health,Local CCP,Devoted CORE Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,036,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Hernando,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,5,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hernando,Devoted Health,Local CCP,Devoted ESSENTIALS Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hernando,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hernando,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,044,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H1609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hernando,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hernando,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hernando,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Ultimate Health Plans,Local CCP,Advantage Care CHF by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hernando,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Hernando,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Hernando,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Hernando,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Hernando,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Hernando,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Hernando,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Hernando,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hernando,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hernando,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hernando,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hernando,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hernando,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hernando,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hernando,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Hernando,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Hernando,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,082,0,,,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,118,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Hernando,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Hernando,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,437,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,028,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Plus Plan (HMO),HMO,No,,Enhanced Alternative,H5594,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,036,0,,,$0.00 ,($13.00),$13.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hernando,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Hernando,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hernando,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tampa (PPO),Local PPO,No,,Enhanced Alternative,H9884,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Hernando,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Hernando,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Hernando,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Hernando,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Hernando,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Highlands,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Highlands,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Highlands,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Highlands,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Highlands,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Highlands,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus H1036-230 (HMO),HMO,No,,Enhanced Alternative,H1036,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus H1036-266 (HMO),HMO,No,,Enhanced Alternative,H1036,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Highlands,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Highlands,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Highlands,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Highlands,"Health First Health Plans, Inc.",Local CCP,Health First Sunsaver Plan (HMO),HMO,No,,Enhanced Alternative,H1099,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Highlands,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Highlands,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,065,0,,,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Highlands,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Highlands,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0027 (PPO),Local PPO,No,,Enhanced Alternative,H2406,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Highlands,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Highlands,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Highlands,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Highlands,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Highlands,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Highlands,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Highlands,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Highlands,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Highlands,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Highlands,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Highlands,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Highlands,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Highlands,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Highlands,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Highlands,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Highlands,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Highlands,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,038,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hillsborough,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Hillsborough,Solis Health Plans,Local CCP,Solis Guardian Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0982,010,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Florida,Hillsborough,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,103,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,104,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hillsborough,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Hillsborough,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hillsborough,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hillsborough,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Hillsborough,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Hillsborough,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Hillsborough,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Florida Blue HMO,Local CCP,BlueMedicare Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,030,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Hillsborough,Florida Blue HMO,Local CCP,BlueMedicare Preferred (HMO),HMO,No,,Enhanced Alternative,H1035,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus H1036-025 (HMO),HMO,No,,Enhanced Alternative,H1036,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Hillsborough,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hillsborough,Devoted Health,Local CCP,Devoted DUAL Tampa (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,024,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hillsborough,Devoted Health,Local CCP,Devoted CORE Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,036,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Hillsborough,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,5,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hillsborough,Devoted Health,Local CCP,Devoted ESSENTIALS Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hillsborough,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,044,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H1609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Hillsborough,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,BayCare Health Plans,Local CCP,BayCarePlus Complete (HMO),HMO,No,,Enhanced Alternative,H2235,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,BayCare Health Plans,Local CCP,BayCarePlus Rewards (HMO),HMO,No,,Enhanced Alternative,H2235,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,BayCare Health Plans,Local CCP,BayCarePlus Premier (HMO),HMO,No,,Enhanced Alternative,H2235,003,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$4.30 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,BayCare Health Plans,Local CCP,BayCarePlus Value (HMO),HMO,No,,Enhanced Alternative,H2235,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,BayCare Health Plans,Local CCP,BayCarePlus Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2235,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Hillsborough,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hillsborough,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Hillsborough,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Hillsborough,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Hillsborough,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Hillsborough,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Hillsborough,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Hillsborough,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hillsborough,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Hillsborough,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Hillsborough,"Freedom Health, Inc.",Local CCP,Freedom M�ximo (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5427,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Hillsborough,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Hillsborough,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,082,0,,,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,118,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,437,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,028,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,036,0,,,$0.00 ,($13.00),$13.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Hillsborough,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Hillsborough,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hillsborough,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Hillsborough,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tampa (PPO),Local PPO,No,,Enhanced Alternative,H9884,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Hillsborough,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Hillsborough,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Hillsborough,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Hillsborough,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Hillsborough,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Hillsborough,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Hillsborough,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Hillsborough,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Hillsborough,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Hillsborough,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Hillsborough,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Hillsborough,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Holmes,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Holmes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Holmes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Holmes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Holmes,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Holmes,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Holmes,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Holmes,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Holmes,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Holmes,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Holmes,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Holmes,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Indian River,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Indian River,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareOne Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,139,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Indian River,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Indian River,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Indian River,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Indian River,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Indian River,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Indian River,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,226,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Indian River,Humana,Local CCP,Humana Gold Plus H1036-229 (HMO),HMO,No,,Enhanced Alternative,H1036,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Indian River,Humana,Local CCP,Humana Gold Plus H1036-286 (HMO),HMO,No,,Enhanced Alternative,H1036,286,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Indian River,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,292,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Indian River,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,298,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Indian River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Indian River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Indian River,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Indian River,"Health First Health Plans, Inc.",Local CCP,Health First Classic Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1099,001,0,,,$32.40 ,$62.60 ,$0.00 ,$62.60 ,$24.90 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,"Health First Health Plans, Inc.",Local CCP,Health First Value Plan (HMO),HMO,No,,Enhanced Alternative,H1099,006,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,"Health First Health Plans, Inc.",Local CCP,Health First Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H1099,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,Devoted Health,Local CCP,Devoted DUAL East Coast Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,039,0,,,$0.00 ,$16.10 ,$0.00 ,$16.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Indian River,Devoted Health,Local CCP,Devoted ESSENTIALS East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Indian River,Devoted Health,Local CCP,Devoted CORE East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Indian River,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Indian River,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,062,0,,,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Indian River,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Indian River,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Indian River,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Indian River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0025 (PPO),Local PPO,No,,Enhanced Alternative,H2406,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Indian River,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Indian River,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Indian River,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Indian River,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Indian River,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Indian River,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Indian River,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Indian River,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Indian River,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,108,0,,,$0.00 ,($21.10),$21.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Indian River,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,109,0,,,$30.20 ,$12.80 ,$0.00 ,$12.80 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Indian River,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Indian River,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Indian River,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Indian River,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,432,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Indian River,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Indian River,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Indian River,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Indian River,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Indian River,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Indian River,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Indian River,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Indian River,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Indian River,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK East Coast Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Indian River,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Indian River,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Indian River,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Indian River,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Indian River,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Indian River,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Indian River,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Indian River,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Jackson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jackson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Jackson,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Jackson,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Jackson,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Jackson,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Jackson,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Jackson,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Jackson,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Jefferson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jefferson,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Jefferson,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Jefferson,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Jefferson,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Jefferson,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Jefferson,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Jefferson,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Jefferson,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Jefferson,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Jefferson,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Jefferson,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Lafayette,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lafayette,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lafayette,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lafayette,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Lafayette,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Lafayette,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Lafayette,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Lafayette,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Lafayette,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Lafayette,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Lafayette,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Lafayette,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lake,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Lake,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lake,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lake,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Lake,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Lake,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lake,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lake,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Lake,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H1036,295,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Lake,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lake,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lake,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lake,Devoted Health,Local CCP,Devoted CORE North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Lake,Devoted Health,Local CCP,Devoted DUAL North Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,033,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Lake,Devoted Health,Local CCP,Devoted ESSENTIALS North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Lake,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,1,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Lake,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Lake,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Lake,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Lake,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0024 (PPO),Local PPO,No,,Enhanced Alternative,H2406,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lake,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lake,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lake,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lake,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Lake,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Lake,Humana,Local CCP,HumanaChoice Florida H5216-074 (PPO),Local PPO,No,,Enhanced Alternative,H5216,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Lake,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Lake,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Lake,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Lake,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lake,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lake,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,096,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Lake,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,104,0,,,$7.40 ,$15.60 ,$0.00 ,$15.60 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lake,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Lake,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,439,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Lake,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lake,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lake,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Lake,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Lake,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Lake,Humana,Local CCP,HumanaChoice Florida H7284-001 (PPO),Local PPO,No,,Enhanced Alternative,H7284,001,0,,,$27.30 ,$62.70 ,$0.00 ,$62.70 ,$25.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Lake,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lake,Devoted Health,Local CCP,Devoted CHOICE North Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Lake,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Lake,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Lake,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Lake,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Lake,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Lee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lee,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Lee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Lee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Lee,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Lee,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lee,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Lee,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus H1036-217 (HMO),HMO,No,,Enhanced Alternative,H1036,217,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus H1036-278 (HMO),HMO,No,,Enhanced Alternative,H1036,278,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,285,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,310,0,,,$0.00 ,($24.50),$24.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,311,0,,,$0.00 ,($34.70),$34.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lee,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lee,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Lee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,056,0,,,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Lee,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Lee,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Lee,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Lee,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Lee,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Lee,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Lee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lee,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Lee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Lee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,111,0,,,$25.70 ,$17.30 ,$0.00 ,$17.30 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Lee,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Lee,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Lee,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Lee,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lee,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Lee,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Lee,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Lee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Lee,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lee,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Lee,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Lee,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Lee,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Lee,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Lee,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Lee,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Lee,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Lee,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Lee,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Lee,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Lee,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Lee,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Leon,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Leon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Leon,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Leon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Leon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Leon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Leon,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Leon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Leon,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Leon,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Leon,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Leon,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Leon,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Leon,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Leon,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Leon,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Leon,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Levy,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Levy,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Levy,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,189,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Levy,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,190,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Levy,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Levy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Levy,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Levy,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Levy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0023 (PPO),Local PPO,No,,Enhanced Alternative,H2406,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Levy,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Levy,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Levy,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Levy,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Levy,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Levy,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Levy,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Levy,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Levy,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,439,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Levy,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Levy,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Levy,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Levy,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Levy,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Levy,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Levy,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Levy,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Liberty,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Liberty,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Liberty,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Liberty,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Liberty,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Liberty,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Liberty,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Liberty,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Liberty,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Liberty,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Liberty,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Liberty,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Liberty,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Liberty,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Liberty,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Liberty,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Liberty,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Madison,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Madison,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Madison,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Madison,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Madison,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Madison,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Madison,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Madison,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Madison,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Madison,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Madison,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Madison,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Madison,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Madison,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Madison,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Madison,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Madison,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Manatee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Manatee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Manatee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Manatee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Manatee,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Manatee,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Manatee,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Manatee,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus H1036-074 (HMO),HMO,No,,Enhanced Alternative,H1036,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Manatee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Manatee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Manatee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Manatee,Devoted Health,Local CCP,Devoted CORE Manatee (HMO),HMO,No,,Enhanced Alternative,H1290,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Manatee,Devoted Health,Local CCP,Devoted ESSENTIALS Manatee (HMO),HMO,No,,Enhanced Alternative,H1290,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Manatee,Devoted Health,Local CCP,Devoted DUAL Manatee (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,034,0,,,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Manatee,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,3,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Manatee,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Manatee,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO),HMO,No,,Enhanced Alternative,H1609,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,047,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Manatee,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Manatee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Manatee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Manatee,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Manatee,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Manatee,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Manatee,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Manatee,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Manatee,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Manatee,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Manatee,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Manatee,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Manatee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Manatee,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Manatee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Manatee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Manatee,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,110,0,,,$25.80 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Manatee,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Manatee,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Manatee,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Manatee,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Manatee,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Manatee,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Manatee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Manatee,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Devoted Health,Local CCP,Devoted CHOICE Manatee (PPO),Local PPO,No,,Enhanced Alternative,H9884,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Manatee,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9943,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9943,004,0,,,$0.00 ,($4.50),$4.50 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Manatee,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Manatee,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Manatee,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Manatee,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Manatee,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Marion,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Marion,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Marion,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Marion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Marion,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Marion,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Marion,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,031,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Marion,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H1036,295,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Marion,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Marion,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Marion,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Marion,Devoted Health,Local CCP,Devoted CORE North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Marion,Devoted Health,Local CCP,Devoted DUAL North Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,033,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Marion,Devoted Health,Local CCP,Devoted ESSENTIALS North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Marion,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,1,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Marion,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Marion,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0024 (PPO),Local PPO,No,,Enhanced Alternative,H2406,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Marion,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Marion,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Marion,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Marion,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Marion,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Marion,Humana,Local CCP,HumanaChoice Florida H5216-074 (PPO),Local PPO,No,,Enhanced Alternative,H5216,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Marion,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Marion,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Marion,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Marion,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Marion,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Marion,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,096,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Marion,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,104,0,,,$7.40 ,$15.60 ,$0.00 ,$15.60 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Marion,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Marion,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Marion,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,439,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Marion,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Marion,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Marion,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Marion,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Marion,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Marion,Humana,Local CCP,HumanaChoice Florida H7284-001 (PPO),Local PPO,No,,Enhanced Alternative,H7284,001,0,,,$27.30 ,$62.70 ,$0.00 ,$62.70 ,$25.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Marion,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Marion,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Marion,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Marion,Devoted Health,Local CCP,Devoted CHOICE North Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Marion,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Marion,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Marion,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Marion,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Marion,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Marion,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Marion,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Marion,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Martin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Martin,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Martin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Martin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Martin,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Martin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,210,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Martin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Martin,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,226,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Martin,Humana,Local CCP,Humana Gold Plus H1036-229 (HMO),HMO,No,,Enhanced Alternative,H1036,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Martin,Humana,Local CCP,Humana Gold Plus H1036-286 (HMO),HMO,No,,Enhanced Alternative,H1036,286,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Martin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,292,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Martin,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,298,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Martin,Devoted Health,Local CCP,Devoted DUAL East Coast Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,039,0,,,$0.00 ,$16.10 ,$0.00 ,$16.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Martin,Devoted Health,Local CCP,Devoted ESSENTIALS East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Martin,Devoted Health,Local CCP,Devoted CORE East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Martin,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Martin,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Martin,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0025 (PPO),Local PPO,No,,Enhanced Alternative,H2406,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Martin,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Martin,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Martin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Martin,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Martin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Martin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,108,0,,,$0.00 ,($21.10),$21.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Martin,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,109,0,,,$30.20 ,$12.80 ,$0.00 ,$12.80 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Martin,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Martin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Martin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Martin,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,432,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Martin,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Martin,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Martin,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Martin,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,Martin,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Martin,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Martin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Martin,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Martin,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK East Coast Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Martin,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Martin,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Martin,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Martin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Martin,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Martin,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Martin,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Martin,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Miami-Dade,Solis Health Plans,Local CCP,Solis Guardian Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0982,002,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Florida,Miami-Dade,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.0,3.5,4.0
Florida,Miami-Dade,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.0,3.5,4.0
Florida,Miami-Dade,AvMed Medicare,Local CCP,AvMed Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H1016,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Miami-Dade,AvMed Medicare,Local CCP,AvMed Medicare Circle (HMO),HMO,No,,Enhanced Alternative,H1016,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.0,3.5
Florida,Miami-Dade,AvMed Medicare,Local CCP,AvMed Medicare Access (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1016,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Miami-Dade,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.0,3.5
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,006,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,023,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,145,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Miami-Dade,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,170,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Miami-Dade,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,176,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Miami-Dade,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,206,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Miami-Dade,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,237,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Miami-Dade,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Miami-Dade,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Miami-Dade,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,027,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus H1036-054C (HMO),HMO,No,,Enhanced Alternative,H1036,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,077,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,297,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,304,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,Humana Gold Plus H1036-305 (HMO),HMO,No,,Enhanced Alternative,H1036,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Preferred Medicare Advantage FL-0001 (HMO),HMO,No,,Enhanced Alternative,H1045,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Preferred Dual Complete FL-D001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1045,012,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Preferred Complete Care FL-0003 (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Miami-Dade,Devoted Health,Local CCP,Devoted CORE Miami-Dade (HMO),HMO,No,,Enhanced Alternative,H1290,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,Devoted Health,Local CCP,Devoted ESSENTIALS Miami-Dade (HMO),HMO,No,,Enhanced Alternative,H1290,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,Devoted Health,Local CCP,Devoted DUAL PLUS Miami-Dade (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,019,0,,,$0.00 ,$11.60 ,$0.00 ,$11.60 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,1,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,017,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,043,0,,,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H1609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,4.0,4.0
Florida,Miami-Dade,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0026 (PPO),Local PPO,No,,Enhanced Alternative,H2406,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrMax (HMO),HMO,No,,Enhanced Alternative,H4140,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrPlus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4140,002,0,,,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrExtraCare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4140,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrValue (HMO),HMO,No,,Enhanced Alternative,H4140,005,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrSelect (HMO),HMO,No,,Enhanced Alternative,H4140,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",Local CCP,DrFlex (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4140,013,0,,,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Florida,Miami-Dade,"Leon Health, Inc.",Local CCP,Leon MediExtra (HMO),HMO,No,,Enhanced Alternative,H4286,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,5.0,4.5,5.0
Florida,Miami-Dade,"Leon Health, Inc.",Local CCP,Leon MediDual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4286,002,0,,,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,"Leon Health, Inc.",Local CCP,Leon MediMore (HMO),HMO,No,,Enhanced Alternative,H4286,003,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Miami-Dade,Humana,Local CCP,HumanaChoice Florida H5216-068 (PPO),Local PPO,No,,Enhanced Alternative,H5216,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Miami-Dade,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,003,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Miami-Dade,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,049,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Miami-Dade,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.5,4.5
Florida,Miami-Dade,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Miami-Dade,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,056,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC MedicareMax Medicare Advantage FL-0028 (HMO),HMO,No,,Enhanced Alternative,H5420,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5420,006,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Miami-Dade,UnitedHealthcare,Local CCP,UHC MedicareMax Complete Care FL-0030 (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5420,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plan (HMO),HMO,No,,Enhanced Alternative,H5431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.5,5.0
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",Local CCP,HealthSun MediMax (HMO),HMO,No,,Enhanced Alternative,H5431,006,0,,,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,1,,,4.5,4.5,5.0
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plus (HMO),HMO,No,,Enhanced Alternative,H5431,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",Local CCP,HealthSun MediSun Extra (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5431,019,0,,,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,1,,,4.5,4.5,5.0
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",Local CCP,HealthSun VitalCare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5431,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Miami-Dade,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,064,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,069,0,,,$0.00 ,($21.00),$21.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply More Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,Yes,Yes,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,115,0,,,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Miami-Dade,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Miami-Dade,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6378,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Miami-Dade,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Miami-Dade,Humana,Local CCP,HumanaChoice Florida H7284-008 (PPO),Local PPO,No,,Enhanced Alternative,H7284,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Miami-Dade,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Miami-Dade,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Miami-Dade,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Miami-Dade,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Miami-Dade,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Miami-Dade,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Miami-Dade,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Miami-Dade,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Miami-Dade,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Miami-Dade,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Miami-Dade,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Miami-Dade,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Miami-Dade,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Miami-Dade,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Monroe,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Monroe,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Monroe,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Monroe,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Monroe,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Nassau,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Nassau,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Nassau,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Nassau,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Nassau,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Nassau,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Nassau,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,205,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Nassau,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Nassau,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Nassau,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Nassau,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Nassau,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Nassau,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Nassau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Nassau,Devoted Health,Local CCP,Devoted DUAL Jacksonville (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,023,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Nassau,Devoted Health,Local CCP,Devoted CORE Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Nassau,Devoted Health,Local CCP,Devoted ESSENTIALS Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Nassau,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,2,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Nassau,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Nassau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Nassau,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Nassau,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Nassau,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Nassau,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Nassau,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Nassau,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Nassau,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Nassau,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Nassau,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Okaloosa,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Okaloosa,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Okaloosa,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okaloosa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okaloosa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Okaloosa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Okaloosa,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okaloosa,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Okaloosa,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Okaloosa,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,050,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus H1036-143 (HMO),HMO,No,,Enhanced Alternative,H1036,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,214,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus H1036-271 (HMO),HMO,No,,Enhanced Alternative,H1036,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Okaloosa,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Okaloosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Okaloosa,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Okaloosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Okaloosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,013,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Okaloosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Okaloosa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,042,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Okaloosa,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Okaloosa,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Okaloosa,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Okaloosa,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Okaloosa,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Okaloosa,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Okaloosa,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Okeechobee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okeechobee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okeechobee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Okeechobee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Okeechobee,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Okeechobee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,226,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Okeechobee,Humana,Local CCP,Humana Gold Plus H1036-229 (HMO),HMO,No,,Enhanced Alternative,H1036,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Okeechobee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,292,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Okeechobee,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,298,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Okeechobee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Okeechobee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Okeechobee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0025 (PPO),Local PPO,No,,Enhanced Alternative,H2406,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Okeechobee,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Okeechobee,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Okeechobee,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Okeechobee,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Okeechobee,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Okeechobee,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Okeechobee,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Okeechobee,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Okeechobee,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Orange,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Orange,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Orange,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Orange,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Orange,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Orange,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Orange,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,212,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,213,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Orange,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Orange,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Orange,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Orange,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Orange,Devoted Health,Local CCP,Devoted CORE Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Orange,Devoted Health,Local CCP,Devoted ESSENTIALS Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Orange,Devoted Health,Local CCP,Devoted DUAL Orlando (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,022,0,,,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Orange,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,4,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Orange,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Orange,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Orange,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Orange,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Orange,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Orange,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Orange,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Orange,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Orange,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Orange,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Orange,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Orange,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Orange,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Orange,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Orange,"Freedom Health, Inc.",Local CCP,Freedom M�ximo (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5427,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Orange,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Orange,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,072,0,,,$0.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,121,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Orange,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,268,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Orange,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,436,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Orange,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Orange,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Orange,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Orange,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Orange,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Orange,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Orange,Devoted Health,Local CCP,Devoted CHOICE Orlando (PPO),Local PPO,No,,Enhanced Alternative,H9884,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Orange,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Orange,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Orange,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Orange,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Orange,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Orange,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Orange,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Orange,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Orange,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Orange,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Orange,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Orange,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Osceola,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Osceola,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Osceola,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Osceola,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Osceola,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Osceola,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Osceola,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,212,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Osceola,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,213,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Osceola,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Osceola,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Osceola,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Osceola,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Osceola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Osceola,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Osceola,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Osceola,Devoted Health,Local CCP,Devoted CORE Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Osceola,Devoted Health,Local CCP,Devoted ESSENTIALS Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Osceola,Devoted Health,Local CCP,Devoted DUAL Orlando (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,022,0,,,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Osceola,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,4,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Osceola,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Osceola,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Osceola,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Osceola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Osceola,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Osceola,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Osceola,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Osceola,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Osceola,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Osceola,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Osceola,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Osceola,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Osceola,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Osceola,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Osceola,"Freedom Health, Inc.",Local CCP,Freedom M�ximo (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5427,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Osceola,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Osceola,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,072,0,,,$0.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,121,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Osceola,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,268,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,436,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Osceola,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Osceola,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Osceola,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Osceola,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Osceola,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Osceola,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Osceola,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Osceola,Devoted Health,Local CCP,Devoted CHOICE Orlando (PPO),Local PPO,No,,Enhanced Alternative,H9884,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Osceola,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Osceola,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Osceola,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Osceola,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Osceola,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Osceola,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Osceola,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Osceola,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Palm Beach,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Palm Beach,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Palm Beach,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Palm Beach,Solis Health Plans,Local CCP,Solis Guardian Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0982,013,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Florida,Palm Beach,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Palm Beach,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,023,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,130,0,,,$0.00 ,($0.20),$0.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,145,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Palm Beach,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Palm Beach,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Palm Beach,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Palm Beach,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,196,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Palm Beach,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Palm Beach,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Palm Beach,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Palm Beach,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,028,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus H1036-062C (HMO),HMO,No,,Enhanced Alternative,H1036,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,077,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,297,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,304,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Palm Beach,Humana,Local CCP,Humana Gold Plus H1036-305 (HMO),HMO,No,,Enhanced Alternative,H1036,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,Palm Beach,UnitedHealthcare,Local CCP,UHC Preferred Medicare Advantage FL-002P (HMO),HMO,No,,Enhanced Alternative,H1045,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Palm Beach,UnitedHealthcare,Local CCP,UHC Preferred Dual Complete FL-D01P (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1045,038,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Palm Beach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Palm Beach,Devoted Health,Local CCP,Devoted CORE Palm Beach (HMO),HMO,No,,Enhanced Alternative,H1290,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Palm Beach,Devoted Health,Local CCP,Devoted ESSENTIALS Palm Beach (HMO),HMO,No,,Enhanced Alternative,H1290,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Palm Beach,Devoted Health,Local CCP,Devoted DUAL PLUS Palm Beach (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,021,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Palm Beach,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,3,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Palm Beach,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,048,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Palm Beach,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Palm Beach,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Palm Beach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0026 (PPO),Local PPO,No,,Enhanced Alternative,H2406,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Palm Beach,Humana,Local CCP,HumanaChoice Florida H5216-068 (PPO),Local PPO,No,,Enhanced Alternative,H5216,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Palm Beach,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Palm Beach,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,049,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Palm Beach,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Palm Beach,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Palm Beach,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,056,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Palm Beach,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Palm Beach,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plan (HMO),HMO,No,,Enhanced Alternative,H5431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,"HealthSun Health Plans, Inc.",Local CCP,HealthSun MediSun Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5431,016,0,,,$0.00 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$545.00 ,1,,,4.5,4.5,5.0
Florida,Palm Beach,"HealthSun Health Plans, Inc.",Local CCP,HealthSun HealthAdvantage Plus (HMO),HMO,No,,Enhanced Alternative,H5431,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,"HealthSun Health Plans, Inc.",Local CCP,HealthSun VitalCare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5431,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Palm Beach,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Palm Beach,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,084,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply More Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,125,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Palm Beach,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,432,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Palm Beach,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Palm Beach,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Palm Beach,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Florida,Palm Beach,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,009,0,,,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Florida,Palm Beach,AmeriHealth Caritas VIP Care (HMO-D-SNP),Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6378,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Palm Beach,Humana,Local CCP,HumanaChoice Florida H7284-008 (PPO),Local PPO,No,,Enhanced Alternative,H7284,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,Palm Beach,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Palm Beach,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Palm Beach,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Palm Beach,Devoted Health,Local CCP,Devoted CHOICE South Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Palm Beach,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Palm Beach,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Palm Beach,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Palm Beach,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Palm Beach,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Palm Beach,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Palm Beach,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Palm Beach,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Pasco,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pasco,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,103,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,104,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pasco,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Pasco,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pasco,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pasco,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Pasco,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Pasco,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pasco,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Pasco,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus H1036-025 (HMO),HMO,No,,Enhanced Alternative,H1036,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pasco,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pasco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pasco,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pasco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pasco,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pasco,Devoted Health,Local CCP,Devoted DUAL Tampa (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,024,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pasco,Devoted Health,Local CCP,Devoted CORE Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,036,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Pasco,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,5,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pasco,Devoted Health,Local CCP,Devoted ESSENTIALS Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pasco,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pasco,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,044,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H1609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pasco,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Pasco,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pasco,BayCare Health Plans,Local CCP,BayCarePlus Complete (HMO),HMO,No,,Enhanced Alternative,H2235,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pasco,BayCare Health Plans,Local CCP,BayCarePlus Rewards (HMO),HMO,No,,Enhanced Alternative,H2235,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pasco,BayCare Health Plans,Local CCP,BayCarePlus Premier (HMO),HMO,No,,Enhanced Alternative,H2235,003,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$4.30 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pasco,BayCare Health Plans,Local CCP,BayCarePlus Value (HMO),HMO,No,,Enhanced Alternative,H2235,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pasco,BayCare Health Plans,Local CCP,BayCarePlus Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2235,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pasco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Advantage Care CHF by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Pasco,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Pasco,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Pasco,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Pasco,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Pasco,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Pasco,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Pasco,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pasco,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pasco,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pasco,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Pasco,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Pasco,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,082,0,,,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,118,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Pasco,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Pasco,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,437,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,028,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,036,0,,,$0.00 ,($13.00),$13.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pasco,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Pasco,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pasco,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tampa (PPO),Local PPO,No,,Enhanced Alternative,H9884,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Pasco,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pasco,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pasco,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pasco,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Pasco,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Pasco,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Pasco,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Pasco,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Pinellas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pinellas,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Pinellas,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,103,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,104,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pinellas,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Pinellas,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pinellas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pinellas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Pinellas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Pinellas,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Pinellas,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Pinellas,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus H1036-025 (HMO),HMO,No,,Enhanced Alternative,H1036,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Pinellas,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Pinellas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pinellas,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pinellas,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pinellas,Devoted Health,Local CCP,Devoted DUAL Tampa (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,024,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pinellas,Devoted Health,Local CCP,Devoted CORE Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Pinellas,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,5,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pinellas,Devoted Health,Local CCP,Devoted ESSENTIALS Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pinellas,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Pinellas,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,044,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Credit (HMO),HMO,No,,Enhanced Alternative,H1609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H1609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Pinellas,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Pinellas,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,BayCare Health Plans,Local CCP,BayCarePlus Complete (HMO),HMO,No,,Enhanced Alternative,H2235,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,BayCare Health Plans,Local CCP,BayCarePlus Rewards (HMO),HMO,No,,Enhanced Alternative,H2235,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,BayCare Health Plans,Local CCP,BayCarePlus Premier (HMO),HMO,No,,Enhanced Alternative,H2235,003,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$4.30 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,BayCare Health Plans,Local CCP,BayCarePlus Value (HMO),HMO,No,,Enhanced Alternative,H2235,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,BayCare Health Plans,Local CCP,BayCarePlus Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2235,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Pinellas,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pinellas,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pinellas,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Pinellas,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Pinellas,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Pinellas,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Pinellas,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Pinellas,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Pinellas,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Pinellas,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Pinellas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pinellas,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Pinellas,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Pinellas,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Pinellas,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Pinellas,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,078,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,082,0,,,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,118,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Pinellas,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,437,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Platinum Plan (HMO),HMO,No,,Enhanced Alternative,H5594,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,028,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,036,0,,,$0.00 ,($13.00),$13.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Pinellas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Pinellas,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Pinellas,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tampa (PPO),Local PPO,No,,Enhanced Alternative,H9884,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Pinellas,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Pinellas,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Pinellas,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Pinellas,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Pinellas,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pinellas,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pinellas,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Pinellas,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Pinellas,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Pinellas,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Pinellas,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Pinellas,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Polk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Polk,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Polk,Solis Health Plans,Local CCP,Solis Healthy Living Plan (HMO),HMO,No,,Enhanced Alternative,H0982,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Polk,Solis Health Plans,Local CCP,Solis Wellness Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0982,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,103,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,104,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Polk,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Polk,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Polk,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Polk,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,200,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,201,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Polk,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Polk,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Florida Blue HMO,Local CCP,BlueMedicare Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,030,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Polk,Florida Blue HMO,Local CCP,BlueMedicare Preferred (HMO),HMO,No,,Enhanced Alternative,H1035,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus H1036-230 (HMO),HMO,No,,Enhanced Alternative,H1036,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus H1036-266 (HMO),HMO,No,,Enhanced Alternative,H1036,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-003P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Polk,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Polk,Devoted Health,Local CCP,Devoted DUAL Tampa (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,024,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Polk,Devoted Health,Local CCP,Devoted CORE Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,036,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Polk,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,5,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Polk,Devoted Health,Local CCP,Devoted ESSENTIALS Tampa (HMO),HMO,No,,Enhanced Alternative,H1290,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Polk,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,049,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Polk,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Polk,BayCare Health Plans,Local CCP,BayCarePlus Complete (HMO),HMO,No,,Enhanced Alternative,H2235,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Polk,BayCare Health Plans,Local CCP,BayCarePlus Rewards (HMO),HMO,No,,Enhanced Alternative,H2235,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Polk,BayCare Health Plans,Local CCP,BayCarePlus Premier (HMO),HMO,No,,Enhanced Alternative,H2235,003,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$4.30 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Polk,BayCare Health Plans,Local CCP,BayCarePlus Value (HMO),HMO,No,,Enhanced Alternative,H2235,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Polk,BayCare Health Plans,Local CCP,BayCarePlus Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2235,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Florida,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Polk,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Polk,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Polk,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Polk,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Polk,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Polk,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Polk,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Polk,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,092,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,099,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Polk,"Freedom Health, Inc.",Local CCP,Freedom M�ximo (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5427,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Polk,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,066,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,070,0,,,$0.00 ,($17.00),$17.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,118,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Polk,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Polk,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,437,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Polk,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Polk,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Polk,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Plan (HMO),HMO,No,,Enhanced Alternative,H5594,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Polk,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Polk,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Polk,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Polk,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Polk,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Polk (PPO),Local PPO,No,,Enhanced Alternative,H9884,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Polk,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Polk,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Polk,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Polk,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Polk,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Polk,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Polk,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Polk,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Putnam,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Putnam,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Putnam,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,189,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Putnam,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,190,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Putnam,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Putnam,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Putnam,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Putnam,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Putnam,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Putnam,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Putnam,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Putnam,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Putnam,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Putnam,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Putnam,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Putnam,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Santa Rosa,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Santa Rosa,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Santa Rosa,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Santa Rosa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Santa Rosa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Santa Rosa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Santa Rosa,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Santa Rosa,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Santa Rosa,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Santa Rosa,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,050,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus H1036-143 (HMO),HMO,No,,Enhanced Alternative,H1036,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,214,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus H1036-271 (HMO),HMO,No,,Enhanced Alternative,H1036,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Santa Rosa,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Santa Rosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Santa Rosa,Devoted Health,Local CCP,Devoted DUAL PLUS Northwest Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1290,042,0,,Yes,$0.00 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Florida,Santa Rosa,Devoted Health,Local CCP,Devoted DUAL Northwest Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1290,043,0,,Yes,$0.00 ,$26.30 ,$0.00 ,$26.30 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Florida,Santa Rosa,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Santa Rosa,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,064,0,,,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Santa Rosa,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Santa Rosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Santa Rosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,013,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Santa Rosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Santa Rosa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,042,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Santa Rosa,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,Santa Rosa,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Santa Rosa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Santa Rosa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Santa Rosa,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,435,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Santa Rosa,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Santa Rosa,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Santa Rosa,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Santa Rosa,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Santa Rosa,Devoted Health,Local CCP,Devoted CHOICE Northwest Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,5.0,Not enough data available
Florida,Santa Rosa,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Northwest Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Santa Rosa,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Santa Rosa,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Santa Rosa,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Santa Rosa,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Santa Rosa,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Santa Rosa,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Santa Rosa,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Santa Rosa,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Sarasota,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Sarasota,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sarasota,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sarasota,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sarasota,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,198,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Sarasota,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,199,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Sarasota,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sarasota,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sarasota,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,032,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Sarasota,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus H1036-074 (HMO),HMO,No,,Enhanced Alternative,H1036,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,102,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,160,0,,,$0.00 ,($31.50),$31.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus H1036-265 (HMO),HMO,No,,Enhanced Alternative,H1036,265,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,299,0,,,$0.00 ,($34.20),$34.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,312,0,,,$0.00 ,($8.90),$8.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sarasota,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sarasota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sarasota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sarasota,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sarasota,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sarasota,Gold Kidney Health Plan,Local CCP,Super Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Gold Kidney Health Plan,Local CCP,Super Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,002,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Gold Kidney Health Plan,Local CCP,Dialysis Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1526,003,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Gold Kidney Health Plan,Local CCP,Dialysis Complete (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H1526,004,0,,Yes,,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Gold Kidney Health Plan,Local CCP,Honest Care (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1526,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO),HMO,No,,Enhanced Alternative,H1609,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,047,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Sarasota,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Sarasota,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,2,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sarasota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sarasota,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sarasota,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Sarasota,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Sarasota,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sarasota,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sarasota,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Sarasota,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Sarasota,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Sarasota,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Sarasota,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Sarasota,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sarasota,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sarasota,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,032,0,,Yes,$0.00 ,$26.60 ,$0.00 ,$26.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sarasota,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Sarasota,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,110,0,,,$25.80 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sarasota,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,272,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Sarasota,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,438,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Sarasota,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Sarasota,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Sarasota,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Plan (HMO),HMO,No,,Enhanced Alternative,H5594,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sarasota,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sarasota,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Sarasota,Simply Healthcare,Local CCP,Simply Freedom Extra (PPO),Local PPO,No,,Enhanced Alternative,H9469,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9943,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9943,004,0,,,$0.00 ,($4.50),$4.50 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9943,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sarasota,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Sarasota,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Sarasota,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Sarasota,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Sarasota,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Sarasota,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Sarasota,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Sarasota,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Seminole,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Seminole,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Seminole,AvMed Medicare,Local CCP,AvMed Medicare One (HMO),HMO,No,,Enhanced Alternative,H1016,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Seminole,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Seminole,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Seminole,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Seminole,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,212,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Seminole,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,213,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Seminole,Florida Blue HMO,Local CCP,FHCP Medicare Premier Plus (HMO),HMO,No,,Enhanced Alternative,H1035,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Florida Blue HMO,Local CCP,FHCP Medicare Rx Savings (HMO),HMO,No,,Enhanced Alternative,H1035,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,4.0,4.0,4.0
Florida,Seminole,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Seminole,Florida Blue HMO,Local CCP,FHCP Medicare Premier Advantage (HMO),HMO,No,,Enhanced Alternative,H1035,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Seminole,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Seminole,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Seminole,Devoted Health,Local CCP,Devoted CORE Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Seminole,Devoted Health,Local CCP,Devoted ESSENTIALS Orlando (HMO),HMO,No,,Enhanced Alternative,H1290,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Seminole,Devoted Health,Local CCP,Devoted DUAL Orlando (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,022,0,,,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Seminole,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,037,4,,,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Seminole,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Seminole,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Seminole,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Seminole,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Seminole,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida H5216-072 (PPO),Local PPO,No,,Enhanced Alternative,H5216,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Seminole,"Freedom Health, Inc.",Local CCP,Freedom M�ximo (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5427,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Seminole,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Comfort (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H5471,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,072,0,,,$0.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra Platinum (HMO),HMO,No,,Enhanced Alternative,H5471,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,121,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,Seminole,"Simply Healthcare Plans, Inc.",Local CCP,Simply Level Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5471,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,268,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,436,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Seminole,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Seminole,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Seminole,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Seminole,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Seminole,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Seminole,American Health Advantage of Florida,Local CCP,American Health Advantage of Florida (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6652,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Seminole,Humana,Local CCP,HumanaChoice Florida H7284-001 (PPO),Local PPO,No,,Enhanced Alternative,H7284,001,0,,,$27.30 ,$62.70 ,$0.00 ,$62.70 ,$25.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Seminole,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Seminole,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Seminole,Devoted Health,Local CCP,Devoted CHOICE Orlando (PPO),Local PPO,No,,Enhanced Alternative,H9884,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Seminole,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Seminole,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Seminole,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Seminole,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Seminole,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Seminole,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Seminole,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Seminole,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,St. Johns,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareOne Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Johns,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,St. Johns,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Johns,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Johns,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Johns,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,204,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,St. Johns,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,205,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,St. Johns,Florida Blue HMO,Local CCP,FHCP Medicare Flagler Advantage (HMO),HMO,No,,Enhanced Alternative,H1035,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Johns,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus H1036-068 (HMO),HMO,No,,Enhanced Alternative,H1036,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,210,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus H1036-270 (HMO),HMO,No,,Enhanced Alternative,H1036,270,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,St. Johns,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,St. Johns,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,St. Johns,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Johns,Devoted Health,Local CCP,Devoted DUAL Jacksonville (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,023,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Johns,Devoted Health,Local CCP,Devoted CORE Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,St. Johns,Devoted Health,Local CCP,Devoted ESSENTIALS Jacksonville (HMO),HMO,No,,Enhanced Alternative,H1290,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Johns,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,St. Johns,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Johns,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Johns,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,St. Johns,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,St. Johns,"Simply Healthcare Plans, Inc.",Local CCP,Simply More (HMO),HMO,No,,Enhanced Alternative,H5471,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,St. Johns,"Simply Healthcare Plans, Inc.",Local CCP,Simply Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5471,111,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,5.0
Florida,St. Johns,"Simply Healthcare Plans, Inc.",Local CCP,Simply Extra (HMO),HMO,No,,Enhanced Alternative,H5471,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,St. Johns,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,St. Johns,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,St. Johns,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,St. Johns,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,St. Johns,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,St. Johns,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,St. Johns,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,St. Johns,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,St. Johns,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,St. Johns,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,St. Lucie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,St. Lucie,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,St. Lucie,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Lucie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Lucie,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,St. Lucie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,210,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,St. Lucie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,St. Lucie,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,028,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,St. Lucie,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,226,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,St. Lucie,Humana,Local CCP,Humana Gold Plus H1036-229 (HMO),HMO,No,,Enhanced Alternative,H1036,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,St. Lucie,Humana,Local CCP,Humana Gold Plus H1036-286 (HMO),HMO,No,,Enhanced Alternative,H1036,286,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,St. Lucie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,292,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,St. Lucie,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,298,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Florida,St. Lucie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,St. Lucie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,St. Lucie,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Lucie,Devoted Health,Local CCP,Devoted DUAL East Coast Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,039,0,,,$0.00 ,$16.10 ,$0.00 ,$16.10 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Lucie,Devoted Health,Local CCP,Devoted ESSENTIALS East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Lucie,Devoted Health,Local CCP,Devoted CORE East Coast Florida (HMO),HMO,No,,Enhanced Alternative,H1290,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,St. Lucie,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,019,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,4.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,045,0,,,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,St. Lucie,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Lucie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0025 (PPO),Local PPO,No,,Enhanced Alternative,H2406,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,St. Lucie,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,St. Lucie,Humana,Local CCP,HumanaChoice Florida H5216-062 (PPO),Local PPO,No,,Enhanced Alternative,H5216,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,St. Lucie,Humana,Local CCP,HumanaChoice Florida H5216-311 (PPO),Local PPO,No,,Enhanced Alternative,H5216,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,St. Lucie,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,St. Lucie,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,St. Lucie,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,047,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Lucie,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,055,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,082,0,,,$0.00 ,($13.10),$13.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom VIP Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,108,0,,,$0.00 ,($21.10),$21.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,St. Lucie,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,109,0,,,$30.20 ,$12.80 ,$0.00 ,$12.80 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,St. Lucie,Florida Blue,Local CCP,BlueMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H5434,002,0,,,$21.10 ,$76.60 ,$0.00 ,$76.60 ,$38.90 ,$305.00 ,1,,Yes,4.0,3.0,3.5
Florida,St. Lucie,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,St. Lucie,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,432,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,St. Lucie,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,St. Lucie,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,St. Lucie,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,St. Lucie,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Rewards COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Florida,St. Lucie,Humana,Local CCP,HumanaChoice Florida H7284-007 (PPO),Local PPO,No,,Enhanced Alternative,H7284,007,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$150.00 ,1,,,4.5,3.5,4.0
Florida,St. Lucie,Humana,Local CCP,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,010,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,St. Lucie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,St. Lucie,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,St. Lucie,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK East Coast Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,St. Lucie,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,St. Lucie,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,St. Lucie,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,St. Lucie,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,St. Lucie,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,St. Lucie,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,St. Lucie,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,St. Lucie,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Sumter,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,026,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1019,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareFree (HMO),HMO,No,,Enhanced Alternative,H1019,120,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,122,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Sumter,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sumter,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sumter,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Sumter,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Sumter,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Sumter,Florida Blue HMO,Local CCP,BlueMedicare Classic (HMO),HMO,No,,Enhanced Alternative,H1035,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sumter,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,029,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Sumter,Florida Blue HMO,Local CCP,BlueMedicare Premier (HMO),HMO,No,,Enhanced Alternative,H1035,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus H1036-146 (HMO),HMO,No,,Enhanced Alternative,H1036,146,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,213,0,,Yes,$0.00 ,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus H1036-269 (HMO),HMO,No,,Enhanced Alternative,H1036,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H1036,295,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,300,0,,,$0.00 ,($23.30),$23.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,313,0,,,$0.00 ,($1.90),$1.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Sumter,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Sumter,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sumter,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sumter,UnitedHealthcare,Local CCP,UHC The Villages Medicare Advantage FL-004P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sumter,Devoted Health,Local CCP,Devoted CORE North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Sumter,Devoted Health,Local CCP,Devoted DUAL North Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,033,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Sumter,Devoted Health,Local CCP,Devoted ESSENTIALS North Florida (HMO),HMO,No,,Enhanced Alternative,H1290,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Sumter,Devoted Health,Local CCP,Devoted PREMIUM Florida (HMO),HMO,No,,Enhanced Alternative,H1290,044,1,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Sumter,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,046,0,,,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Sumter,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0024 (PPO),Local PPO,No,,Enhanced Alternative,H2406,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sumter,Ultimate Health Plans,Local CCP,Advantage Care COPD by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sumter,Ultimate Health Plans,Local CCP,Premier by Ultimate (HMO),HMO,No,,Enhanced Alternative,H2962,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sumter,Ultimate Health Plans,Local CCP,Advantage Care by Ultimate (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2962,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Sumter,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Full) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,035,0,,,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Sumter,Ultimate Health Plans,Local CCP,Advantage Plus by Ultimate (Partial) (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2962,036,0,,,$0.00 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida H5216-074 (PPO),Local PPO,No,,Enhanced Alternative,H5216,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida H5216-304 (PPO),Local PPO,No,,Enhanced Alternative,H5216,304,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,025,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,046,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,096,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Sumter,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plus Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,104,0,,,$7.40 ,$15.60 ,$0.00 ,$15.60 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Sumter,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Florida,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,439,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Sumter,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Sumter,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Sumter,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sumter,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sumter,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Sumter,Humana,Local CCP,HumanaChoice Florida H7284-001 (PPO),Local PPO,No,,Enhanced Alternative,H7284,001,0,,,$27.30 ,$62.70 ,$0.00 ,$62.70 ,$25.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Sumter,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,116,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Sumter,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Sumter,Devoted Health,Local CCP,Devoted CHOICE North Florida (PPO),Local PPO,No,,Enhanced Alternative,H9884,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Sumter,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,001,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Sumter,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Sumter,Align Senior Care,Local CCP,Align Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9917,003,0,,,,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Sumter,Align Senior Care,Local CCP,Premier Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H9917,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Florida,Sumter,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Sumter,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Sumter,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Sumter,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Sumter,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Suwannee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Suwannee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Suwannee,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Suwannee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Suwannee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Suwannee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Suwannee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Suwannee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Suwannee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Suwannee,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Suwannee,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Suwannee,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Suwannee,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Suwannee,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Suwannee,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Suwannee,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Suwannee,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Taylor,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Taylor,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Taylor,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Taylor,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Taylor,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Taylor,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Taylor,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Taylor,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Taylor,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Taylor,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Taylor,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Union,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Union,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,189,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Union,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,190,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Union,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Union,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0022 (PPO),Local PPO,No,,Enhanced Alternative,H2406,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Union,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Union,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Union,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Union,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Union,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Union,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Union,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Union,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Union,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Union,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Union,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Union,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Union,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Union,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,010,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,012,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,073,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareOne Plus (HMO),HMO,No,,Enhanced Alternative,H1019,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareComplete Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareBreeze Platinum (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1019,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareFree Platinum (HMO),HMO,No,,Enhanced Alternative,H1019,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareAccess (HMO),HMO,No,,Enhanced Alternative,H1019,144,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,"CarePlus Health Plans, Inc.",Local CCP,CareNeeds Platinum (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1019,146,0,,Yes,$0.00 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Florida,Volusia,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Volusia,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Volusia,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,193,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Volusia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Florida,Volusia,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Volusia,Florida Blue HMO,Local CCP,FHCP Medicare Rx Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1035,002,0,,,$0.00 ,$0.00 ,$49.00 ,$49.00 ,$49.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Volusia,Florida Blue HMO,Local CCP,FHCP Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H1035,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.0,4.0
Florida,Volusia,Florida Blue HMO,Local CCP,FHCP Medicare Rx Savings (HMO),HMO,No,,Enhanced Alternative,H1035,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,4.0,4.0,4.0
Florida,Volusia,Florida Blue HMO,Local CCP,FHCP Medicare Premier Advantage (HMO),HMO,No,,Enhanced Alternative,H1035,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus H1036-044 (HMO),HMO,No,,Enhanced Alternative,H1036,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus H1036-157 (HMO),HMO,No,,Enhanced Alternative,H1036,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,209,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Fully Integrated H1036-280 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,280,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,301,0,,,$0.00 ,($36.80),$36.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Volusia,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,315,0,,,$0.00 ,($4.40),$4.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Volusia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1045,039,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1045,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Volusia,"Health First Health Plans, Inc.",Local CCP,Health First Sunsaver Plan (HMO),HMO,No,,Enhanced Alternative,H1099,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Volusia,Devoted Health,Local CCP,Devoted DUAL Daytona (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,041,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Volusia,Devoted Health,Local CCP,Devoted ESSENTIALS Daytona (HMO),HMO,No,,Enhanced Alternative,H1290,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.5,5.0
Florida,Volusia,Devoted Health,Local CCP,Devoted CORE Daytona (HMO),HMO,No,,Enhanced Alternative,H1290,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Florida,Volusia,Devoted Health,Local CCP,Devoted DUAL PLUS Florida (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1290,052,0,,,$0.00 ,$16.20 ,$0.00 ,$16.20 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Florida,Volusia,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1609,055,0,,,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Florida,Volusia,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1609,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Florida,Volusia,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1644,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Volusia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0021 (PPO),Local PPO,No,,Enhanced Alternative,H2406,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Volusia,UnitedHealthcare,Local CCP,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2509,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Volusia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Volusia,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Volusia,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,031,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Volusia,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,045,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom Medicare Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom VIP Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,070,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,072,0,,,$0.00 ,($15.00),$15.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom VIP Savings COPD (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5427,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,078,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom Medi-Medi Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5427,087,0,,,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom Platinum Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Florida,Volusia,"Freedom Health, Inc.",Local CCP,Freedom Platinum Rewards Plan Rx (HMO),HMO,No,,Enhanced Alternative,H5427,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Florida,Volusia,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Volusia,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,269,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Florida,Volusia,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,434,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Florida,Volusia,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Partial (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,016,0,,,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Volusia,"Optimum HealthCare, Inc.",Local CCP,Optimum Emerald Full (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5594,017,0,,,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Florida,Volusia,"Optimum HealthCare, Inc.",Local CCP,Optimum Gold Rewards Plan (HMO),HMO,No,,Enhanced Alternative,H5594,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Volusia,"Optimum HealthCare, Inc.",Local CCP,Optimum Diamond Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5594,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Florida,Volusia,American Health Advantage of Florida,Local CCP,American Health Advantage of Florida (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6652,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Volusia,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Volusia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Volusia,Simply Healthcare,Local CCP,Simply Freedom (PPO),Local PPO,No,,Enhanced Alternative,H9469,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Florida,Volusia,Devoted Health,Local CCP,Devoted CHOICE (PPO),Local PPO,No,,Enhanced Alternative,H9884,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Not enough data available,5.0,Not enough data available
Florida,Volusia,Florida Complete Care,Local CCP,Florida Complete Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Volusia,Florida Complete Care,Local CCP,Florida Complete Care- In The Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9986,002,0,,Yes,$3.40 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Volusia,Florida Complete Care,Local CCP,Florida Complete Care- D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9986,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Florida,Volusia,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Volusia,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Volusia,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Volusia,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Volusia,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Wakulla,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Wakulla,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Wakulla,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Wakulla,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,209,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Wakulla,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Wakulla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Wakulla,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Wakulla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Wakulla,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Wakulla,Capital Health Plan,Local CCP,Capital Health Plan Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H5938,001,0,,,$0.50 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Wakulla,Capital Health Plan,Local CCP,Capital Health Plan Preferred Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,006,0,,,$33.10 ,$52.90 ,$0.00 ,$52.90 ,$15.20 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Wakulla,Capital Health Plan,Local CCP,Capital Health Plan Silver Advantage (HMO),HMO,No,,Enhanced Alternative,H5938,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Wakulla,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Wakulla,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Wakulla,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Wakulla,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Wakulla,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Wakulla,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Wakulla,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Walton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Walton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Walton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Walton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Walton,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Walton,Florida Blue HMO,Local CCP,BlueMedicare Classic Plus (HMO),HMO,No,,Enhanced Alternative,H1035,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Florida,Walton,Florida Blue HMO,Local CCP,BlueMedicare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1035,050,0,,,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus H1036-143 (HMO),HMO,No,,Enhanced Alternative,H1036,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,214,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus H1036-271 (HMO),HMO,No,,Enhanced Alternative,H1036,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,302,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,314,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Florida,Walton,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,316,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Florida,Walton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Walton,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Walton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Walton,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Walton,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Walton,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Walton,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Walton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,013,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Walton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H5410,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Walton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5410,042,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Walton,Florida Blue,Local CCP,BlueMedicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5434,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.0,3.5
Florida,Walton,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Walton,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Walton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Walton,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Florida,Walton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H8225,003,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Florida,Walton,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Walton,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Walton,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Walton,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Walton,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Florida,Washington,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,124,0,,Yes,$0.00 ,$34.10 ,$0.00 ,$34.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,175,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1032,191,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Florida,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1032,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Florida,Washington,Wellcare,Local CCP,Wellcare Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1032,202,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Florida,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1045,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Florida,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,002,1,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Florida,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FL-0020 (PPO),Local PPO,No,,Enhanced Alternative,H2406,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Florida,Washington,Humana,Local CCP,HumanaChoice Florida H5216-070 (PPO),Local PPO,No,,Enhanced Alternative,H5216,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,4.5,4.0,4.5
Florida,Washington,Humana,Local CCP,HumanaChoice Florida H5216-392 (PPO),Local PPO,No,,Enhanced Alternative,H5216,392,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
Florida,Washington,Humana,Local CCP,HumanaChoice Florida H5216-393 (PPO),Local PPO,No,,Enhanced Alternative,H5216,393,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.0,4.5
Florida,Washington,Humana,Local CCP,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,394,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Florida,Washington,Humana,Local CCP,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7284,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.0
Florida,Washington,Humana,Local CCP,HumanaChoice Florida H7284-006 (PPO),Local PPO,No,,Enhanced Alternative,H7284,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Florida,Washington,Humana,Local CCP,HumanaChoice Florida H7284-009 (PPO),Local PPO,No,,Enhanced Alternative,H7284,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,3.5,4.0
Florida,Washington,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC FL-0031 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0759,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.5,4.0
Florida,Washington,UnitedHealthcare,Regional CCP,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R0759,003,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Florida,Washington,Florida Blue,Regional CCP,BlueMedicare Choice (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3332,001,0,,,$12.40 ,$55.00 ,$0.00 ,$55.00 ,$17.30 ,$250.00 ,1,,Yes,4.0,3.5,3.5
Florida,Washington,Humana,Regional CCP,HumanaChoice R5826-005 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,005,0,,,$104.60 ,$68.40 ,$0.00 ,$68.40 ,$30.70 ,$100.00 ,1,,,3.5,4.0,3.5
Florida,Washington,Humana,Regional CCP,HumanaChoice R5826-074 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5826,074,0,,,$0.00 ,$20.00 ,$11.00 ,$31.00 ,$11.00 ,$395.00 ,1,,,3.5,4.0,3.5
Georgia,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,082,0,Yes,Yes,,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Georgia,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,145,0,Yes,,,($17.00),$17.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Georgia,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,213,0,Yes,,,$33.90 ,$45.00 ,$78.90 ,$45.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Georgia,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,085,0,,,,$109.30 ,$0.00 ,$109.30 ,$65.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,086,0,,,,$101.40 ,$29.50 ,$130.90 ,$86.70 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,020,0,Yes,,,$52.60 ,$0.00 ,$52.60 ,$8.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,021,0,Yes,,,$40.40 ,$59.90 ,$100.30 ,$59.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,185,0,Yes,,,$13.70 ,$2.00 ,$15.70 ,$2.00 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,219,0,Yes,,,$69.30 ,$0.00 ,$69.30 ,$25.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,255,0,Yes,,,$91.20 ,$8.50 ,$99.70 ,$55.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,360,0,Yes,,,$5.90 ,$14.40 ,$20.30 ,$14.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,009,0,Yes,,,$85.60 ,$31.50 ,$117.10 ,$72.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Georgia,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,135,0,Yes,Yes,,$45.80 ,$0.00 ,$45.80 ,$1.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Georgia,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,156,0,Yes,,,$91.00 ,$19.70 ,$110.70 ,$66.50 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Georgia,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,189,0,Yes,,,$45.10 ,$5.50 ,$50.60 ,$6.40 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Georgia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,355,0,Yes,,,$68.00 ,$0.00 ,$68.00 ,$23.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,392,0,Yes,,,$57.90 ,$7.10 ,$65.00 ,$20.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Georgia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,009,0,,,,$94.90 ,$0.00 ,$94.90 ,$50.70 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Georgia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,079,0,,,,$73.70 ,$13.10 ,$86.80 ,$42.60 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Georgia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,112,0,,,,($0.50),$24.10 ,$23.60 ,$23.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Georgia,Appling,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Appling,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Appling,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Appling,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Appling,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Appling,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Appling,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Appling,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Appling,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Appling,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Appling,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Appling,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Appling,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Appling,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Appling,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Appling,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Appling,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Appling,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Appling,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Appling,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Appling,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Appling,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Appling,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Appling,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Atkinson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Atkinson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Atkinson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Atkinson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Atkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Atkinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Atkinson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Atkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Atkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Atkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Atkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Atkinson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Atkinson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Atkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Atkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Atkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Atkinson,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Atkinson,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Atkinson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Atkinson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Atkinson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Atkinson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Atkinson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bacon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Bacon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Bacon,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bacon,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bacon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bacon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bacon,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bacon,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bacon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bacon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bacon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bacon,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bacon,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bacon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bacon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bacon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bacon,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Bacon,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bacon,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bacon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bacon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bacon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bacon,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bacon,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Baker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Baker,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Baker,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Baker,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Baker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baker,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Baker,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Baker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Baker,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Baker,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baker,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baker,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Baker,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Baker,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baker,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baker,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baker,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baker,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baker,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baker,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baker,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Baker,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baker,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Baker,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Baker,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Baker,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Baker,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Baldwin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Baldwin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Baldwin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Baldwin,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baldwin,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baldwin,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Baldwin,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baldwin,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Baldwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baldwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Baldwin,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baldwin,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baldwin,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baldwin,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baldwin,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Baldwin,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Baldwin,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Baldwin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Baldwin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Baldwin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Baldwin,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Baldwin,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Banks,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Banks,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Banks,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Banks,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Banks,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Banks,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Banks,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Banks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Banks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Banks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Banks,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Banks,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Banks,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Banks,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Banks,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Banks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Banks,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Banks,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Banks,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Banks,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Banks,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Banks,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Banks,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Banks,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Banks,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Banks,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Banks,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Barrow,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Barrow,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Barrow,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Barrow,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Barrow,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Barrow,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Barrow,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Barrow,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Barrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Barrow,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Barrow,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Barrow,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Barrow,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Barrow,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Barrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Barrow,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Barrow,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Barrow,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Barrow,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Barrow,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Barrow,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Barrow,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Barrow,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Barrow,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Barrow,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Barrow,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Barrow,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Barrow,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Barrow,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bartow,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Bartow,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Bartow,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bartow,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Bartow,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bartow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bartow,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bartow,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bartow,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bartow,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bartow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Bartow,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Bartow,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Bartow,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bartow,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bartow,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bartow,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bartow,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bartow,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Ben Hill,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ben Hill,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Ben Hill,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Ben Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Ben Hill,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ben Hill,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ben Hill,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ben Hill,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ben Hill,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Ben Hill,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Ben Hill,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Ben Hill,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Ben Hill,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Ben Hill,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ben Hill,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ben Hill,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ben Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Ben Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ben Hill,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ben Hill,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ben Hill,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Ben Hill,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Ben Hill,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Ben Hill,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Ben Hill,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Ben Hill,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Berrien,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Berrien,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Berrien,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Berrien,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Berrien,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Berrien,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Berrien,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Berrien,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Berrien,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Berrien,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Berrien,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Berrien,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Berrien,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Berrien,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Berrien,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Berrien,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Berrien,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Berrien,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Berrien,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bibb,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Bibb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Bibb,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Bibb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Bibb,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Bibb,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Bibb,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Bibb,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bibb,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bibb,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bibb,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bibb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bibb,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Bibb,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bibb,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bibb,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bibb,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bibb,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Bibb,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bibb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bibb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bibb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bibb,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bibb,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bleckley,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Bleckley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bleckley,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bleckley,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bleckley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bleckley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bleckley,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bleckley,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bleckley,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bleckley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bleckley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bleckley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bleckley,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bleckley,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bleckley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bleckley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bleckley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bleckley,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Bleckley,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bleckley,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bleckley,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bleckley,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bleckley,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bleckley,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bleckley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bleckley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bleckley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bleckley,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bleckley,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Brantley,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Brantley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Brantley,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Brantley,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Brantley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Brantley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brantley,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brantley,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brantley,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brantley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Brantley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Brantley,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Brantley,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brantley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brantley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Brantley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brantley,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Brantley,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brantley,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brantley,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Brantley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Brantley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Brantley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Brantley,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Brantley,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Brooks,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Brooks,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Brooks,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Brooks,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Brooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Brooks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Brooks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Brooks,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Brooks,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brooks,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Brooks,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Brooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Brooks,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brooks,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Brooks,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Brooks,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Brooks,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Brooks,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Brooks,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bryan,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Bryan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Bryan,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Bryan,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Bryan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Bryan,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bryan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Bryan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bryan,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bryan,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bryan,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bryan,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bryan,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bryan,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bryan,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bryan,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bryan,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bryan,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bryan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Bryan,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Bryan,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bryan,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bryan,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Bryan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bryan,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bryan,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bryan,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bryan,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Bulloch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Bulloch,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bulloch,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bulloch,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Bulloch,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bulloch,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Bulloch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bulloch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bulloch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Bulloch,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bulloch,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Bulloch,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Bulloch,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Bulloch,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Bulloch,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Bulloch,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Burke,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Burke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Burke,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Burke,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Burke,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Burke,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Burke,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Burke,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Burke,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Burke,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Burke,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Burke,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Burke,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Burke,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Burke,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Burke,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Burke,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Burke,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Burke,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Burke,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Butts,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Butts,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Butts,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Butts,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Butts,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Butts,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Butts,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Butts,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Butts,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Butts,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Butts,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Butts,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Butts,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Butts,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Butts,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Butts,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Butts,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Butts,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Butts,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Butts,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Butts,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Butts,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Butts,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Butts,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Butts,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Butts,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Butts,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Butts,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Butts,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Butts,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Calhoun,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Calhoun,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Calhoun,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Calhoun,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Calhoun,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Calhoun,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Calhoun,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Calhoun,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Calhoun,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Calhoun,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Camden,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Camden,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Camden,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Camden,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Camden,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Camden,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Camden,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Camden,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Camden,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Camden,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Camden,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Camden,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Camden,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Camden,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Camden,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Camden,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Camden,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Camden,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Candler,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Candler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Candler,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Candler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Candler,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Candler,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Candler,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Candler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Candler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Candler,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Candler,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Candler,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Candler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Candler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Candler,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Candler,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Candler,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Candler,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Candler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Candler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Candler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Candler,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Candler,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Candler,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Candler,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Candler,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Candler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Candler,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Candler,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Candler,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Candler,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Carroll,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Carroll,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Carroll,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Carroll,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Carroll,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Carroll,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Carroll,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Carroll,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Carroll,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Carroll,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Carroll,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Carroll,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Carroll,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Carroll,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Carroll,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Carroll,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Carroll,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Carroll,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Catoosa,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Catoosa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Catoosa,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Catoosa,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Catoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Catoosa,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Catoosa,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Catoosa,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Catoosa,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Catoosa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Catoosa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Catoosa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Catoosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Catoosa,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Catoosa,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,079,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Catoosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,080,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Catoosa,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Catoosa,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Catoosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Catoosa,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Catoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Catoosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Catoosa,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Catoosa,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Catoosa,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Catoosa,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Catoosa,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Catoosa,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Catoosa,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Catoosa,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Charlton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Charlton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Charlton,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Charlton,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Charlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Charlton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Charlton,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Charlton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Charlton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Charlton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Charlton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Charlton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Charlton,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Charlton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Charlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Charlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Charlton,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Charlton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Charlton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Charlton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Charlton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Charlton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Chatham,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Chatham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Chatham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Chatham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Chatham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Chatham,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chatham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Chatham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chatham,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Chatham,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Chatham,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chatham,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Chatham,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chatham,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chatham,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chatham,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chatham,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chatham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Chatham,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Chatham,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chatham,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chatham,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Chatham,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chatham,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Chatham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Chatham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Chatham,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Chatham,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Chattahoochee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chattahoochee,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Chattahoochee,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattahoochee,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chattahoochee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Chattahoochee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chattahoochee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chattahoochee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattahoochee,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chattahoochee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattahoochee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattahoochee,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Chattahoochee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Chattahoochee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Chattahoochee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Chattahoochee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Chattahoochee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Chattooga,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Chattooga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Chattooga,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattooga,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Chattooga,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Chattooga,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chattooga,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Chattooga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Chattooga,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chattooga,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Chattooga,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Chattooga,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattooga,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chattooga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Chattooga,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Chattooga,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Chattooga,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Chattooga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Chattooga,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Chattooga,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Chattooga,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Chattooga,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Cherokee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Cherokee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Cherokee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cherokee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Cherokee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Cherokee,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cherokee,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Cherokee,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cherokee,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cherokee,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cherokee,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cherokee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Cherokee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cherokee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Cherokee,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Cherokee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cherokee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cherokee,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cherokee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Cherokee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Cherokee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Clarke,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Clarke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Clarke,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clarke,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Clarke,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Clarke,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clarke,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Clarke,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Clarke,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Clarke,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Clarke,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clarke,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Clarke,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clarke,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clarke,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Clarke,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Clarke,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clarke,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Clarke,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clarke,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Clarke,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Clarke,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Clarke,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Clarke,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Clay,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clay,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Clay,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Clay,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Clay,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clay,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clay,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clay,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clay,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Clay,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Clay,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Clayton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Clayton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Clayton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clayton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Clayton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Clayton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Clayton,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Clayton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Clayton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Clayton,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clayton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,Humana,Local CCP,Humana Gold Plus H4141-015 (HMO),HMO,No,,Enhanced Alternative,H4141,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clayton,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clayton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,021,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Clayton,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clayton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Clayton,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Clayton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Clayton,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clayton,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Clayton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clayton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Clayton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Clayton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Clayton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Clayton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Clinch,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Clinch,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clinch,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clinch,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Clinch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Clinch,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clinch,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clinch,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clinch,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Clinch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clinch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Clinch,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Clinch,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Clinch,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clinch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clinch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Clinch,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Clinch,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clinch,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clinch,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clinch,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clinch,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Clinch,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Clinch,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Clinch,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Clinch,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Clinch,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Clinch,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Clinch,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Cobb,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Cobb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Cobb,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cobb,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Cobb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Cobb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cobb,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Cobb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cobb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cobb,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Cobb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Cobb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1889,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,011,0,,,$0.00 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Cobb,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Cobb,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Cobb,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cobb,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cobb,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,021,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cobb,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Cobb,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cobb,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cobb,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cobb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cobb,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Cobb,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Cobb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Cobb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Cobb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Cobb,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Cobb,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Coffee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Coffee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coffee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Coffee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Coffee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Coffee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coffee,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Coffee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coffee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coffee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Coffee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Coffee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Coffee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Coffee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Colquitt,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Colquitt,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Colquitt,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Colquitt,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Colquitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Colquitt,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Colquitt,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Colquitt,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Colquitt,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Colquitt,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Colquitt,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Colquitt,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Colquitt,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Colquitt,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Colquitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Colquitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Colquitt,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Colquitt,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Colquitt,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Colquitt,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Colquitt,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Colquitt,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Colquitt,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Columbia,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Columbia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Columbia,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Columbia,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Columbia,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Columbia,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Columbia,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Columbia,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Columbia,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Columbia,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Columbia,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Columbia,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Columbia,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Columbia,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Cook,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Cook,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Cook,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cook,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Cook,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Cook,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Cook,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Cook,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Cook,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Cook,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cook,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cook,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cook,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Cook,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cook,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Cook,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Cook,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Cook,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cook,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Cook,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Cook,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Cook,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Cook,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Cook,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Cook,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Coweta,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Coweta,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Coweta,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coweta,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Coweta,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Coweta,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Coweta,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Coweta,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Coweta,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coweta,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Coweta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Coweta,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coweta,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coweta,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Coweta,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Coweta,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coweta,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coweta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coweta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Coweta,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Coweta,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Coweta,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Coweta,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coweta,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Coweta,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Coweta,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Coweta,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Coweta,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Coweta,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Coweta,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Crawford,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Crawford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Crawford,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Crawford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Crawford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crawford,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Crawford,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Crawford,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Crawford,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crawford,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Crawford,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Crawford,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Crawford,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Crawford,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crawford,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Crawford,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Crawford,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Crawford,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Crisp,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Crisp,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crisp,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Crisp,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Crisp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Crisp,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Crisp,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Crisp,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Crisp,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crisp,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crisp,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crisp,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crisp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Crisp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Crisp,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crisp,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Crisp,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Crisp,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Crisp,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Crisp,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Crisp,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Crisp,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Dade,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Dade,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Dade,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dade,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dade,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dade,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Dade,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Dade,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dade,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dade,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dade,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dade,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dade,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dade,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Dade,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Dade,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,079,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Dade,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,080,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Dade,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Dade,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dade,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dade,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Dade,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dade,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dade,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dade,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dade,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Dade,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Dade,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Dade,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Dade,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Dawson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Dawson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Dawson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dawson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Dawson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Dawson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dawson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Dawson,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dawson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Dawson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dawson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Dawson,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Dawson,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dawson,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dawson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Dawson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Dawson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dawson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dawson,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Dawson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dawson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Dawson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Dawson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Dawson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Dawson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,DeKalb,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,DeKalb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,DeKalb,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,DeKalb,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,DeKalb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,DeKalb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,DeKalb,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,DeKalb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,DeKalb,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,DeKalb,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,DeKalb,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,DeKalb,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,DeKalb,Humana,Local CCP,Humana Gold Plus H4141-015 (HMO),HMO,No,,Enhanced Alternative,H4141,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,021,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,DeKalb,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,DeKalb,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,DeKalb,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,DeKalb,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,DeKalb,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,DeKalb,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,DeKalb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,DeKalb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,DeKalb,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,DeKalb,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,DeKalb,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Decatur,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Decatur,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Decatur,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Decatur,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Decatur,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Decatur,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Decatur,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Decatur,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Decatur,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Decatur,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Decatur,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Decatur,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Dodge,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Dodge,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dodge,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dodge,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Dodge,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Dodge,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dodge,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Dodge,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dodge,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dodge,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dodge,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dodge,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Dodge,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Dodge,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Dodge,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Dodge,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Dooly,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Dooly,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Dooly,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Dooly,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Dooly,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Dooly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Dooly,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Dooly,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dooly,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dooly,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dooly,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dooly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dooly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Dooly,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dooly,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dooly,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dooly,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Dooly,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Dooly,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Dooly,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Dooly,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Dooly,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Dougherty,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Dougherty,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Dougherty,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dougherty,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Dougherty,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Dougherty,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dougherty,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dougherty,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dougherty,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dougherty,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Dougherty,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Dougherty,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Dougherty,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Dougherty,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Dougherty,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Douglas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Douglas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Douglas,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Douglas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Douglas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Douglas,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Douglas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Douglas,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Douglas,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Douglas,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Douglas,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Douglas,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Douglas,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Douglas,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Douglas,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Douglas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Douglas,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Douglas,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Douglas,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Douglas,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Early,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Early,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Early,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Early,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Early,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Early,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Early,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Early,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Early,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Early,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Early,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Early,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Early,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Early,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Early,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Early,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Early,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Early,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Early,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Early,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Early,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Echols,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Echols,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Echols,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Echols,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Echols,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Echols,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Echols,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Echols,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Echols,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Echols,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Echols,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Echols,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Echols,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Echols,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Echols,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Echols,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Echols,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Echols,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Echols,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Echols,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Echols,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Echols,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Echols,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Echols,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Echols,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Echols,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Echols,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Echols,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Echols,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Echols,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Effingham,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Effingham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Effingham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Effingham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Effingham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Effingham,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Effingham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Effingham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Effingham,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Effingham,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Effingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Effingham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Effingham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Effingham,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Effingham,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Effingham,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Effingham,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Effingham,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Effingham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Effingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Effingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Effingham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Effingham,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Effingham,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Effingham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Effingham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Effingham,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Effingham,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Elbert,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Elbert,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Elbert,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Elbert,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Elbert,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Elbert,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Elbert,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Elbert,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Elbert,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Elbert,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Elbert,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Elbert,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Elbert,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Elbert,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Elbert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Elbert,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Elbert,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Elbert,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Elbert,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Elbert,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Elbert,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Elbert,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Elbert,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Emanuel,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Emanuel,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Emanuel,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Emanuel,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Emanuel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Emanuel,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Emanuel,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Emanuel,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Emanuel,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Emanuel,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Emanuel,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Emanuel,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Emanuel,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Emanuel,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Emanuel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Emanuel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Emanuel,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Emanuel,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Emanuel,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Emanuel,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Emanuel,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Emanuel,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Emanuel,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Emanuel,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Emanuel,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Evans,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Evans,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Evans,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Evans,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Evans,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Evans,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Evans,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Evans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Evans,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Evans,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Evans,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Evans,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Evans,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Evans,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Evans,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Evans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Evans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Evans,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Evans,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Evans,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Evans,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Evans,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Evans,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Evans,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Evans,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Evans,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Fannin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Fannin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Fannin,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Fannin,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Fannin,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Fannin,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Fannin,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Fannin,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fannin,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Fannin,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fannin,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fannin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Fannin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Fannin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Fannin,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Fannin,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Fayette,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Fayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Fayette,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fayette,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Fayette,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Fayette,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fayette,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Fayette,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fayette,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fayette,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fayette,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fayette,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Fayette,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fayette,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Fayette,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Fayette,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Fayette,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fayette,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fayette,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fayette,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Fayette,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Fayette,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Fayette,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Fayette,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Floyd,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Floyd,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Floyd,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Floyd,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Floyd,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Floyd,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Floyd,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Floyd,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Floyd,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Floyd,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Floyd,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Floyd,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Floyd,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Floyd,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Floyd,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Floyd,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Floyd,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Floyd,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Forsyth,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Forsyth,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Forsyth,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Forsyth,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Forsyth,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Forsyth,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Forsyth,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Forsyth,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Forsyth,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Forsyth,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Forsyth,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Forsyth,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Forsyth,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Forsyth,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Forsyth,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Forsyth,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Forsyth,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Forsyth,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Forsyth,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Forsyth,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Forsyth,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Forsyth,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Forsyth,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Forsyth,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Forsyth,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Forsyth,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Forsyth,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Forsyth,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Forsyth,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Franklin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Franklin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Franklin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Franklin,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Franklin,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Franklin,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Franklin,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Franklin,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Franklin,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Franklin,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Fulton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Fulton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fulton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fulton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Fulton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Fulton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fulton,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Fulton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fulton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1889,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Fulton,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Fulton,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Fulton,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fulton,Humana,Local CCP,Humana Gold Plus H4141-015 (HMO),HMO,No,,Enhanced Alternative,H4141,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,021,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fulton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Fulton,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Fulton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Fulton,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Fulton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Fulton,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Fulton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Fulton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Fulton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Fulton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Fulton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Fulton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Gilmer,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Gilmer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Gilmer,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gilmer,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gilmer,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gilmer,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Gilmer,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Gilmer,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gilmer,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gilmer,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Gilmer,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gilmer,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gilmer,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gilmer,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Gilmer,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gilmer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Gilmer,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Gilmer,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Gilmer,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Gilmer,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Glascock,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Glascock,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Glascock,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Glascock,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Glascock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glascock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Glascock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Glascock,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Glascock,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glascock,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glascock,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Glascock,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glascock,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glascock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glascock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glascock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glascock,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Glascock,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glascock,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glascock,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Glascock,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Glascock,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Glascock,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Glascock,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Glascock,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Glascock,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Glynn,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Glynn,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Glynn,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Glynn,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Glynn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Glynn,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Glynn,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Glynn,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Glynn,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glynn,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glynn,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glynn,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Glynn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glynn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Glynn,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Glynn,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Glynn,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Glynn,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Glynn,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Gordon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Gordon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Gordon,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gordon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gordon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gordon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Gordon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Gordon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Gordon,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gordon,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gordon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Gordon,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Gordon,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gordon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Gordon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Gordon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Gordon,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Gordon,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Grady,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Grady,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Grady,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Grady,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Grady,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Grady,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Grady,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Grady,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Grady,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Grady,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Grady,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Grady,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Grady,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Grady,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Grady,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Grady,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Grady,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Grady,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Grady,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Grady,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Grady,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Grady,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Greene,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Greene,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Greene,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Greene,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Greene,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Greene,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Greene,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Greene,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Greene,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Greene,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Greene,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Greene,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Greene,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Greene,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Greene,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Greene,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Greene,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Greene,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Gwinnett,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Gwinnett,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Gwinnett,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Gwinnett,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Gwinnett,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Gwinnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Gwinnett,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Gwinnett,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Gwinnett,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Gwinnett,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gwinnett,Humana,Local CCP,Humana Gold Plus H4141-015 (HMO),HMO,No,,Enhanced Alternative,H4141,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gwinnett,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gwinnett,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,021,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gwinnett,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Gwinnett,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Gwinnett,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gwinnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Gwinnett,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Gwinnett,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Gwinnett,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Gwinnett,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Gwinnett,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Gwinnett,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Gwinnett,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Gwinnett,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Gwinnett,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Gwinnett,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Habersham,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Habersham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Habersham,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Habersham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Habersham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Habersham,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Habersham,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Habersham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Habersham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Habersham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Habersham,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Habersham,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Habersham,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Habersham,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Habersham,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Habersham,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Habersham,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Habersham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Habersham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Habersham,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Habersham,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Habersham,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Habersham,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Habersham,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Habersham,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Habersham,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Habersham,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Habersham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Habersham,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Habersham,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Habersham,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Hall,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Hall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Hall,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Hall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hall,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Hall,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Hall,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Hall,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hall,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hall,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Hall,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Hall,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hall,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hall,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Hall,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Hall,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Hall,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Hall,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Hall,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Hall,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Hancock,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Hancock,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Hancock,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hancock,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hancock,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hancock,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Hancock,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hancock,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hancock,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hancock,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hancock,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hancock,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hancock,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hancock,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Hancock,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hancock,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Hancock,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Hancock,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Hancock,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Hancock,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Haralson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Haralson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Haralson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Haralson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Haralson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Haralson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Haralson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Haralson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Haralson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Haralson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Haralson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Haralson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Haralson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Haralson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Haralson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Haralson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Haralson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Haralson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Haralson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Haralson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Haralson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Haralson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Haralson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Haralson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Haralson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Harris,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Harris,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Harris,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Harris,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Harris,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Harris,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Harris,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Harris,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Harris,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Harris,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Harris,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Harris,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Harris,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Harris,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Harris,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Harris,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Harris,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Harris,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Harris,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Harris,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Harris,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Harris,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Harris,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Harris,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Hart,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Hart,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Hart,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hart,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Hart,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Hart,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hart,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Hart,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Hart,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hart,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Hart,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hart,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hart,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hart,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Hart,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Hart,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Hart,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Hart,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Hart,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Hart,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Hart,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Heard,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Heard,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Heard,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Heard,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Heard,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Heard,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Heard,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Heard,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Heard,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Heard,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Heard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Heard,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Heard,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Heard,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Heard,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Heard,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Heard,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Heard,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Heard,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Heard,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Heard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Heard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Heard,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Heard,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Heard,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Heard,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Heard,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Heard,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Heard,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Heard,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Heard,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Heard,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Heard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Heard,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Heard,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Heard,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Heard,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Henry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Henry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Henry,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Henry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Henry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Henry,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Henry,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Henry,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Henry,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Henry,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Henry,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Henry,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Henry,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Henry,Humana,Local CCP,Humana Gold Plus H4141-015 (HMO),HMO,No,,Enhanced Alternative,H4141,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Henry,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Henry,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Henry,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Henry,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Henry,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Henry,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Henry,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Henry,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Henry,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Henry,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Henry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Henry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Henry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Henry,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Henry,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Houston,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Houston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Houston,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Houston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Houston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Houston,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Houston,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Houston,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Houston,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Houston,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Houston,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Houston,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Houston,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Houston,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Houston,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Houston,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Houston,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Houston,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Houston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Houston,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Houston,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Houston,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Houston,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Irwin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Irwin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Irwin,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Irwin,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Irwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Irwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Irwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Irwin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Irwin,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Irwin,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Irwin,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Irwin,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Irwin,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Irwin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Irwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Irwin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Irwin,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Irwin,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Irwin,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Irwin,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Irwin,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Irwin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Irwin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Irwin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Irwin,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Irwin,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jackson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Jackson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jackson,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jackson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jackson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jackson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jackson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Jackson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jackson,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Jackson,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Jackson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jackson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jackson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jackson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jasper,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jasper,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jasper,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jasper,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jasper,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jasper,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jasper,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jasper,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Jasper,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jasper,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jasper,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jasper,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jasper,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jasper,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jeff Davis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jeff Davis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jeff Davis,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jeff Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jeff Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jeff Davis,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jeff Davis,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jeff Davis,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jeff Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jeff Davis,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jeff Davis,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jeff Davis,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jeff Davis,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jefferson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jefferson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jefferson,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jefferson,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jefferson,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jefferson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jefferson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jefferson,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jefferson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jefferson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jefferson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jefferson,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Jefferson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jefferson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jefferson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jenkins,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jenkins,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jenkins,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jenkins,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jenkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jenkins,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jenkins,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jenkins,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jenkins,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jenkins,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jenkins,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jenkins,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jenkins,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jenkins,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jenkins,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jenkins,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jenkins,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jenkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jenkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jenkins,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Jenkins,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jenkins,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jenkins,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jenkins,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Jenkins,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jenkins,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jenkins,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jenkins,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jenkins,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jenkins,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Johnson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Johnson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Johnson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Johnson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Johnson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Johnson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Johnson,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Johnson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Johnson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Johnson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Johnson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Johnson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Johnson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Johnson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Jones,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Jones,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Jones,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Jones,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Jones,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jones,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jones,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jones,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Jones,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jones,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jones,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Jones,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Jones,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Jones,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jones,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jones,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jones,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jones,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Jones,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Jones,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Jones,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Jones,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Jones,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Jones,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lamar,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Lamar,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Lamar,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lamar,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Lamar,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lamar,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lamar,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Lamar,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lamar,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Lamar,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lamar,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lamar,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lamar,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lamar,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lamar,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lamar,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lamar,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lamar,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lamar,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lamar,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lanier,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Lanier,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lanier,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lanier,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lanier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lanier,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lanier,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lanier,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lanier,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lanier,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lanier,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lanier,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lanier,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lanier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lanier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lanier,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lanier,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lanier,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lanier,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lanier,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Laurens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Laurens,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Laurens,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Laurens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Laurens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,052,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Laurens,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Laurens,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Laurens,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Laurens,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Laurens,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Laurens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Laurens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Laurens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Laurens,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Laurens,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Lee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Lee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lee,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Liberty,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Liberty,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Liberty,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Liberty,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Liberty,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Liberty,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Liberty,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Liberty,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Liberty,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Liberty,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Liberty,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Liberty,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Liberty,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Liberty,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Liberty,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Liberty,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Liberty,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Liberty,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Liberty,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lincoln,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Lincoln,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Lincoln,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lincoln,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lincoln,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Lincoln,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lincoln,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Lincoln,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lincoln,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lincoln,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lincoln,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Lincoln,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lincoln,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lincoln,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lincoln,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Long,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Long,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Long,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Long,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Long,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Long,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Long,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Long,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Long,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Long,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Long,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Long,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Long,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Long,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Long,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Long,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Long,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Long,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Long,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Long,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Long,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Long,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Long,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Long,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Long,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Long,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Long,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Long,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Long,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Long,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Long,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lowndes,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Lowndes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lowndes,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lowndes,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lowndes,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Lowndes,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Lowndes,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lowndes,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lowndes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lowndes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lowndes,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lowndes,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lowndes,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lowndes,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lowndes,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Lumpkin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Lumpkin,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lumpkin,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Lumpkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Lumpkin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lumpkin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lumpkin,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Lumpkin,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Lumpkin,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lumpkin,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Lumpkin,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lumpkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lumpkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Lumpkin,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lumpkin,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lumpkin,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Lumpkin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Lumpkin,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lumpkin,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Lumpkin,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Lumpkin,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Lumpkin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Lumpkin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Lumpkin,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Lumpkin,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Lumpkin,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Macon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Macon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Macon,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Macon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Macon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Macon,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Macon,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Macon,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Macon,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Macon,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Macon,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Macon,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Macon,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Macon,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Macon,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Macon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Macon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Macon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Macon,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Macon,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Madison,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Madison,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Madison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Madison,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Madison,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Madison,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Madison,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Madison,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Madison,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Madison,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Madison,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Madison,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Madison,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Marion,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Marion,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Marion,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Marion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Marion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Marion,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Marion,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Marion,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Marion,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Marion,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Marion,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Marion,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Marion,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Marion,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Marion,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Marion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Marion,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Marion,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,McDuffie,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,McDuffie,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,McDuffie,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,McDuffie,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,McDuffie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McDuffie,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,McDuffie,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,McDuffie,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McDuffie,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McDuffie,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,McDuffie,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McDuffie,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McDuffie,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McDuffie,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McDuffie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McDuffie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McDuffie,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McDuffie,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McDuffie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,McDuffie,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,McDuffie,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,McDuffie,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,McDuffie,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,McIntosh,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,McIntosh,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McIntosh,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,McIntosh,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,McIntosh,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,McIntosh,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McIntosh,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,McIntosh,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,McIntosh,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,McIntosh,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,McIntosh,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McIntosh,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,McIntosh,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,McIntosh,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,McIntosh,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,McIntosh,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,McIntosh,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,McIntosh,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Meriwether,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Meriwether,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Meriwether,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Meriwether,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Meriwether,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Meriwether,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Meriwether,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Meriwether,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Meriwether,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Meriwether,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Meriwether,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Meriwether,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Meriwether,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Meriwether,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Meriwether,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Meriwether,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Meriwether,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Meriwether,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Meriwether,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Meriwether,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Meriwether,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Meriwether,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Meriwether,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Meriwether,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Miller,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Miller,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Miller,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Miller,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Miller,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Miller,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Miller,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Miller,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Miller,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Miller,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Miller,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Miller,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Miller,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Miller,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Miller,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Miller,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Miller,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Miller,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Miller,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Miller,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Miller,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Miller,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Mitchell,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Mitchell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Mitchell,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Mitchell,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Mitchell,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Mitchell,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Mitchell,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Mitchell,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Mitchell,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Mitchell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Mitchell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Mitchell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Mitchell,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Mitchell,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Monroe,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Monroe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Monroe,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Monroe,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Monroe,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Monroe,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Monroe,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Monroe,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Monroe,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Monroe,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Monroe,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Monroe,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Monroe,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Monroe,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Monroe,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Monroe,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Monroe,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Montgomery,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Montgomery,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Montgomery,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Montgomery,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Montgomery,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Montgomery,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Montgomery,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Montgomery,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Montgomery,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Montgomery,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Montgomery,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Morgan,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Morgan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Morgan,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Morgan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Morgan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Morgan,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Morgan,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Morgan,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Morgan,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Morgan,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Morgan,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Morgan,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Morgan,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Morgan,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Morgan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Morgan,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Morgan,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Morgan,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Morgan,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Murray,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Murray,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Murray,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Murray,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Murray,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Murray,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Murray,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Murray,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Murray,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Murray,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Murray,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Murray,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Murray,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Murray,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Murray,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Murray,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Muscogee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Muscogee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Muscogee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Muscogee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Muscogee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Muscogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Muscogee,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Muscogee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Muscogee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Muscogee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Muscogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Muscogee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Muscogee,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Muscogee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Muscogee,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Muscogee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Muscogee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Muscogee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Muscogee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Muscogee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Newton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Newton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Newton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Newton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Newton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Newton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Newton,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Newton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Newton,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Newton,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Newton,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Newton,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Newton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Newton,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Newton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Newton,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Newton,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Newton,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Newton,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Newton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Newton,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Newton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Newton,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Newton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Newton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Newton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Oconee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Oconee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Oconee,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oconee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Oconee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Oconee,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Oconee,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oconee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Oconee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Oconee,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Oconee,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oconee,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oconee,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Oconee,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Oconee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oconee,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oconee,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oconee,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oconee,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Oconee,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Oconee,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oconee,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oconee,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Oconee,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oconee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Oconee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Oconee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Oconee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Oconee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Oglethorpe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Oglethorpe,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Oglethorpe,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Oglethorpe,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oglethorpe,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oglethorpe,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Oglethorpe,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Oglethorpe,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oglethorpe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Oglethorpe,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oglethorpe,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oglethorpe,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Oglethorpe,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Oglethorpe,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oglethorpe,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Oglethorpe,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Oglethorpe,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Oglethorpe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Oglethorpe,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Oglethorpe,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Oglethorpe,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Oglethorpe,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Paulding,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Paulding,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Paulding,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Paulding,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Paulding,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Paulding,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 1 (HMO),HMO,No,,Enhanced Alternative,H1170,002,0,,,$4.30 ,$61.70 ,$0.00 ,$61.70 ,$17.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Paulding,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,008,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Paulding,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 1 (HMO),HMO,No,,Enhanced Alternative,H1170,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Paulding,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1170,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Paulding,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Paulding,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,011,0,,,$0.00 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Paulding,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Paulding,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Paulding,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Paulding,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Paulding,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Paulding,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Paulding,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Paulding,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Paulding,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Paulding,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Paulding,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Paulding,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Paulding,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Paulding,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Peach,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Peach,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Peach,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Peach,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Peach,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Peach,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Peach,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Peach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Peach,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Peach,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Peach,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Peach,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Peach,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Peach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Peach,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Peach,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Peach,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Peach,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Peach,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Peach,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Peach,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Peach,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Peach,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Peach,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Peach,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Peach,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Pickens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Pickens,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Pickens,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pickens,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Pickens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Pickens,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pickens,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pickens,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Pickens,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Pickens,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pickens,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Pickens,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pickens,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Pickens,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pickens,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pickens,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Pickens,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Pickens,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pickens,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pickens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Pickens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Pickens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Pickens,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Pickens,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Pierce,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Pierce,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Pierce,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pierce,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Pierce,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Pierce,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pierce,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pierce,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pierce,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pierce,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Pierce,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Pierce,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Pierce,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Pierce,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Pike,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Pike,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Pike,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pike,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Pike,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Pike,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pike,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Pike,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pike,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pike,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Pike,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pike,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Pike,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pike,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pike,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pike,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pike,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Pike,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Pike,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Polk,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Polk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Polk,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Polk,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Polk,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Polk,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Polk,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Polk,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Polk,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Polk,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Polk,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Polk,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Polk,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Polk,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Polk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Polk,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Polk,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Pulaski,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Pulaski,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pulaski,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pulaski,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Pulaski,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Pulaski,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pulaski,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pulaski,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pulaski,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Pulaski,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Pulaski,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Pulaski,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Pulaski,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Putnam,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Putnam,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Putnam,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Putnam,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Putnam,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Putnam,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Putnam,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Putnam,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Putnam,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Putnam,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Putnam,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Putnam,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Putnam,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Putnam,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Putnam,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Putnam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Putnam,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Putnam,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Putnam,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Putnam,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Quitman,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Quitman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Quitman,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Quitman,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Quitman,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Quitman,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Quitman,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Quitman,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Quitman,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Quitman,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Quitman,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Quitman,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Quitman,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Quitman,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Quitman,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Rabun,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Rabun,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Rabun,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Rabun,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Rabun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rabun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Rabun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Rabun,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Rabun,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Rabun,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rabun,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rabun,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rabun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rabun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rabun,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rabun,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rabun,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rabun,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rabun,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Rabun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Rabun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Rabun,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Rabun,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Randolph,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Randolph,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Randolph,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Randolph,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Randolph,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Randolph,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Randolph,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Randolph,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Randolph,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Randolph,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Randolph,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Randolph,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Richmond,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Richmond,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Richmond,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Richmond,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Richmond,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Richmond,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Richmond,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Richmond,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Richmond,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Richmond,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Richmond,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC GA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Richmond,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Richmond,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Richmond,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Richmond,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Richmond,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Richmond,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Rockdale,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Rockdale,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,054,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Georgia,Rockdale,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rockdale,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Rockdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Rockdale,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Rockdale,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Rockdale,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Advantra Preferred (PPO),Local PPO,No,,Enhanced Alternative,H1608,028,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$1.80 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rockdale,"Sonder Health Plans, Inc.",Local CCP,Sonder Complete Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,"Sonder Health Plans, Inc.",Local CCP,Sonder Diabetes Wellness (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,"Sonder Health Plans, Inc.",Local CCP,Sonder Heart Healthy (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1748,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,"Sonder Health Plans, Inc.",Local CCP,Sonder Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1748,005,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,"Sonder Health Plans, Inc.",Local CCP,Sonder Tiers Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H1748,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Rockdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Rockdale,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rockdale,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rockdale,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Rockdale,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Rockdale,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rockdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Rockdale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Rockdale,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Rockdale,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Rockdale,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rockdale,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Rockdale,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Rockdale,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Rockdale,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Rockdale,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Rockdale,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Rockdale,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Rockdale,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Schley,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Schley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Schley,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Schley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Schley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Schley,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Schley,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Schley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Schley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Schley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Schley,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Schley,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Schley,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Schley,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Schley,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Schley,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Schley,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Schley,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Schley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Schley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Schley,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Schley,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Schley,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Schley,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Schley,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Schley,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Schley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Schley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Schley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Schley,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Schley,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Screven,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Screven,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Screven,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Screven,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Screven,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Screven,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Screven,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Screven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Screven,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Screven,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Screven,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Screven,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Screven,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Screven,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Screven,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Screven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Screven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Screven,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Screven,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Screven,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Screven,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Screven,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Screven,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Screven,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Screven,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Screven,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Screven,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Screven,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Seminole,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Seminole,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Seminole,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Seminole,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Seminole,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Seminole,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Seminole,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Seminole,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Seminole,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Seminole,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Seminole,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Seminole,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Spalding,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Spalding,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Spalding,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Spalding,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Spalding,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Spalding,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Spalding,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Spalding,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Spalding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,002,0,,Yes,$0.00 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,003,0,,Yes,$0.00 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Spalding,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Spalding,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Spalding,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Spalding,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Spalding,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Spalding,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Spalding,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Spalding,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Spalding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Spalding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Spalding,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,364,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Spalding,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Spalding,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Spalding,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Spalding,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Spalding,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Spalding,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Spalding,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Spalding,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Spalding,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Spalding,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Spalding,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Spalding,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Stephens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Stephens,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Stephens,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stephens,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Stephens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Stephens,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Stephens,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Stephens,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Stephens,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Stephens,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Stephens,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stephens,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stephens,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Stephens,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Stephens,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Stephens,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Stephens,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stephens,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,015,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Stephens,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Stephens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Stephens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Stephens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Stephens,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Stephens,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Stewart,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Stewart,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Stewart,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Stewart,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Stewart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Stewart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Stewart,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stewart,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stewart,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Stewart,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stewart,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Stewart,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Stewart,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stewart,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Stewart,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Stewart,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Stewart,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Stewart,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Stewart,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Sumter,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Sumter,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Sumter,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Sumter,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Sumter,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Sumter,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Sumter,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Sumter,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Sumter,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Sumter,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Sumter,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Sumter,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Talbot,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Talbot,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Talbot,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Talbot,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Talbot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Talbot,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Talbot,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Talbot,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Talbot,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Talbot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Talbot,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Talbot,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Talbot,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Talbot,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Talbot,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Talbot,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Talbot,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Talbot,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Talbot,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Talbot,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Talbot,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Taliaferro,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Taliaferro,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Taliaferro,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Taliaferro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taliaferro,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Taliaferro,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Taliaferro,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Taliaferro,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taliaferro,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taliaferro,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Taliaferro,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taliaferro,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taliaferro,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taliaferro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taliaferro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taliaferro,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taliaferro,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taliaferro,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taliaferro,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taliaferro,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taliaferro,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Taliaferro,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taliaferro,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Taliaferro,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Taliaferro,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Taliaferro,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Taliaferro,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Tattnall,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Tattnall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Tattnall,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Tattnall,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Tattnall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tattnall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Tattnall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Tattnall,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Tattnall,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Tattnall,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tattnall,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tattnall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Tattnall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tattnall,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Tattnall,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Tattnall,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tattnall,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tattnall,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Tattnall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Tattnall,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Tattnall,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Tattnall,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Tattnall,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Taylor,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Taylor,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Taylor,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Taylor,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Taylor,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taylor,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Taylor,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taylor,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,012,0,,Yes,$0.00 ,$29.30 ,$0.00 ,$29.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Taylor,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taylor,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taylor,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taylor,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Taylor,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Taylor,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Taylor,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Taylor,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Taylor,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Taylor,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Telfair,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Telfair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Telfair,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Telfair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Telfair,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Telfair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Telfair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Telfair,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Telfair,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Telfair,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Telfair,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Telfair,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Telfair,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Telfair,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Telfair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Telfair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Telfair,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Telfair,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Telfair,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Telfair,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Telfair,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Telfair,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Telfair,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Telfair,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Telfair,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Terrell,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Terrell,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Terrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Terrell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Terrell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Terrell,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Terrell,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Terrell,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Terrell,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Terrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Terrell,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Terrell,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Terrell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Terrell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Terrell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Terrell,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Terrell,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Thomas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Thomas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Thomas,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Thomas,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Thomas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Thomas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Thomas,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Thomas,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Thomas,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Thomas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Thomas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Thomas,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Thomas,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Thomas,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Thomas,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Thomas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Thomas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Thomas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Thomas,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Thomas,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Thomas,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Thomas,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Tift,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Tift,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Tift,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Tift,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Tift,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tift,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Tift,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Tift,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Tift,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Tift,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Tift,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Tift,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Tift,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tift,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,014,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tift,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tift,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tift,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Tift,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Tift,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tift,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Tift,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Tift,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Tift,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Tift,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Tift,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Tift,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Toombs,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Toombs,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Toombs,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Toombs,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Toombs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Toombs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Toombs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Toombs,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Toombs,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Toombs,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Toombs,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Toombs,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Toombs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Toombs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Toombs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Toombs,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Toombs,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Toombs,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Toombs,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Toombs,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Toombs,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Toombs,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Towns,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Towns,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Towns,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Towns,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Towns,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Towns,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Towns,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Towns,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Towns,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Towns,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Towns,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Towns,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Towns,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Towns,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Towns,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Towns,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Towns,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Towns,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Towns,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Towns,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Towns,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Towns,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Towns,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Treutlen,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Treutlen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Treutlen,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Treutlen,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Treutlen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Treutlen,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Treutlen,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Treutlen,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Treutlen,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Treutlen,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Treutlen,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Treutlen,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Treutlen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Treutlen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Treutlen,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Treutlen,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Treutlen,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Treutlen,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Treutlen,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Treutlen,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Treutlen,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Treutlen,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Treutlen,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Treutlen,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Troup,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Troup,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Troup,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Troup,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Troup,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Troup,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Troup,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Troup,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Troup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Troup,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Troup,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Troup,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Troup,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Troup,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Troup,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Troup,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Troup,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Troup,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Troup,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Troup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Troup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Troup,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,117,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Troup,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Troup,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Troup,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Troup,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Troup,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Turner,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Turner,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Turner,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Turner,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Turner,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Turner,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Turner,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Turner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Turner,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Turner,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Turner,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Turner,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Turner,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Turner,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Turner,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Turner,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Turner,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Turner,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Turner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Turner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Turner,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Turner,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Turner,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Turner,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Turner,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Turner,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Turner,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Turner,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Turner,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Turner,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Twiggs,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Twiggs,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Select (HMO),HMO,No,,Enhanced Alternative,H1109,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Twiggs,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Twiggs,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Twiggs,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Twiggs,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Twiggs,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Twiggs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Twiggs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Twiggs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Twiggs,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Twiggs,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Twiggs,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Twiggs,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Twiggs,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Twiggs,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Twiggs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Twiggs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Twiggs,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Twiggs,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Twiggs,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Twiggs,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Twiggs,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Twiggs,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Twiggs,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Twiggs,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Twiggs,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Twiggs,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Twiggs,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Twiggs,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Union,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Union,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Union,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Union,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Union,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Union,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Union,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Union,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Union,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Union,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Union,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Union,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Union,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Union,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Union,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Union,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Union,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Union,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Union,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Union,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Upson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Upson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Upson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Upson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Upson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Upson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Upson,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Upson,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Upson,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Upson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Upson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Upson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Upson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Upson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Upson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Upson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Upson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Upson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Upson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Upson,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Upson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Upson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Upson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Upson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Upson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Upson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Walker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Walker,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Walker,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walker,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Walker,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Walker,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Walker,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Walker,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Walker,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Walker,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Georgia,Walker,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,079,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Walker,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,080,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walker,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Walker,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Walker,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walker,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walker,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Walker,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Walker,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Walker,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Walker,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Walton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Walton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Walton,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Walton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Walton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Walton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced 2 (HMO),HMO,No,,Enhanced Alternative,H1170,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Walton,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H1170,011,0,,,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Georgia,Walton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic 2 (HMO),HMO,No,,Enhanced Alternative,H1170,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Walton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H3288,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Walton,PruittHealth Premier,Local CCP,PruittHealth Premier D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3291,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4036,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Walton,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Walton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Walton,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-073 (PPO),Local PPO,No,,Enhanced Alternative,H5216,073,0,,,$0.00 ,$55.00 ,$0.00 ,$55.00 ,$10.80 ,$360.00 ,1,,,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,1,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Walton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Walton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,016,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Essential (PPO),Local PPO,No,,Enhanced Alternative,H5521,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Walton,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Georgia,Walton,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Walton,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Walton,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Walton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,Walton,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Walton,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Walton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H8390,016,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Georgia,Walton,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Walton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Walton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Walton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Walton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Walton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Ware,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Ware,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Ware,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ware,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Ware,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Ware,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Ware,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Ware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Ware,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Ware,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Ware,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Ware,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Ware,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Ware,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ware,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Ware,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Ware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Ware,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ware,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Ware,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Ware,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Ware,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Ware,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Ware,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Warren,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Warren,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Warren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Warren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Warren,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Warren,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Warren,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Warren,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Warren,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Warren,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Warren,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Warren,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Warren,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Warren,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Warren,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Warren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Warren,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Warren,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Warren,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Warren,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Washington,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Washington,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Washington,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Washington,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Washington,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Washington,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Washington,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Washington,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Washington,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Washington,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Washington,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Washington,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Washington,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Washington,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Wayne,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Wayne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Wayne,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wayne,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Wayne,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Wayne,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wayne,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Wayne,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wayne,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wayne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Wayne,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Wayne,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Wayne,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Wayne,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Webster,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Webster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Webster,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Webster,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Webster,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Webster,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Webster,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Webster,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Webster,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Webster,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Webster,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Webster,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Webster,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Webster,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Webster,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Webster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Webster,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Webster,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Webster,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Webster,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Wheeler,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Wheeler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Wheeler,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Wheeler,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Wheeler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Wheeler,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Wheeler,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wheeler,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wheeler,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
Georgia,Wheeler,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wheeler,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wheeler,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wheeler,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wheeler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Wheeler,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Wheeler,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Wheeler,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Wheeler,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,White,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,White,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,White,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,002,0,,Yes,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,White,Cigna Healthcare,Local CCP,Cigna Preferred GA Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,003,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,4.0
Georgia,White,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,006,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,White,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0439,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Georgia,White,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0439,012,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Georgia,White,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,White,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,White,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,White,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,White,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,White,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,White,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,White,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,White,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,White,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,White,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,White,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H5302,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,White,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,White,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,White,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,White,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,White,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,White,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Georgia,White,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,White,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,White,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,White,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,White,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,White,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,White,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Whitfield,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Whitfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Whitfield,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Whitfield,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Whitfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Whitfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Whitfield,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Whitfield,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Whitfield,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Whitfield,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Whitfield,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Whitfield,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Whitfield,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Whitfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Whitfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Whitfield,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Whitfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Whitfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Whitfield,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Whitfield,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Wilcox,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Wilcox,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,033,0,,Yes,$0.00 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Georgia,Wilcox,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Wilcox,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Wilcox,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilcox,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Wilcox,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Wilcox,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilcox,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilcox,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilcox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilcox,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilcox,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilcox,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilcox,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilcox,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilcox,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Wilcox,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilcox,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Wilcox,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Wilcox,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Wilcox,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Wilcox,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Wilkes,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Wilkes,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Wilkes,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilkes,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wilkes,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Wilkes,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Wilkes,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkes,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkes,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Wilkes,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkes,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkes,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkes,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkes,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkes,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
Georgia,Wilkes,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkes,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Wilkes,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Wilkes,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Wilkes,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Wilkes,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Wilkinson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkinson,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilkinson,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,004,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,005,0,,Yes,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H2293,023,0,,,$0.00 ,$22.30 ,$0.00 ,$22.30 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Wilkinson,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Wilkinson,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,030,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$14.80 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4036,032,0,,Yes,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$545.00 ,,,,3.5,5.0,4.0
Georgia,Wilkinson,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkinson,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkinson,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Wilkinson,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice H5216-207 (PPO),Local PPO,No,,Enhanced Alternative,H5216,207,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkinson,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,007,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H5422,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H5422,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5422,015,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,018,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5422,019,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Wilkinson,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6672,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkinson,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6672,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkinson,Clear Spring Health,Local CCP,Clear Spring Health Select Plus (HMO),HMO,No,,Enhanced Alternative,H6672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkinson,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkinson,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Wilkinson,Clear Spring Health,Local CCP,Clear Spring Health Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9589,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Georgia,Wilkinson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Wilkinson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Wilkinson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Wilkinson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Wilkinson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Georgia,Worth,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0111,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,2.5
Georgia,Worth,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0111,004,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Georgia,Worth,Wellcare,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,006,0,,Yes,$0.00 ,$44.10 ,$0.00 ,$44.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Worth,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1112,033,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Georgia,Worth,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1112,042,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
Georgia,Worth,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1112,043,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
Georgia,Worth,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1112,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Georgia,Worth,UnitedHealthcare,Local CCP,UHC Medicare Advantage GA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Worth,UnitedHealthcare,Local CCP,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1889,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Georgia,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1889,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,001,0,,,$0.00 ,$25.20 ,$0.00 ,$25.20 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plus (PPO),Local PPO,No,,Enhanced Alternative,H2293,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,021,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2293,022,0,,Yes,$0.00 ,$31.80 ,$0.00 ,$31.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Georgia,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,001,0,,Yes,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3256,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H3288,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Preferred Premium (PPO),Local PPO,No,,Enhanced Alternative,H3288,042,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Georgia,Worth,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3291,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Worth,PruittHealth Premier,Local CCP,PruittHealth Premier Advantage (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3291,003,0,,,$12.00 ,$8.00 ,$0.00 ,$8.00 ,$0.00 ,$0.00 ,,,,Not enough data available,5.0,Not enough data available
Georgia,Worth,Humana,Local CCP,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4141,003,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,Humana,Local CCP,Humana Gold Plus H4141-017 (HMO),HMO,No,,Enhanced Alternative,H4141,017,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Worth,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Georgia,Worth,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,045,0,,,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Georgia,Worth,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice H5216-203 (PPO),Local PPO,No,,Enhanced Alternative,H5216,203,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,205,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,206,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,242,0,,Yes,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice H5216-284 (PPO),Local PPO,No,,Enhanced Alternative,H5216,284,0,,,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Worth,Humana,Local CCP,HumanaChoice H5216-349 (PPO),Local PPO,No,,Enhanced Alternative,H5216,349,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,013,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5302,020,0,,Yes,$0.00 ,$30.10 ,$0.00 ,$30.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete GA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,030,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC GA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Georgia,Worth,Georgia Health Advantage,Local CCP,Georgia Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,Georgia Health Advantage,Local CCP,Georgia Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8093,002,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Georgia,Worth,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
Georgia,Worth,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Georgia,Worth,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Georgia,Worth,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
Georgia,Worth,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
Guam,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5820,035,0,Yes,,,$43.50 ,$0.00 ,$43.50 ,$43.50 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Hawaii,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,095,0,Yes,Yes,,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Hawaii,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,164,0,Yes,,,($15.10),$15.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Hawaii,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,236,0,Yes,,,$33.40 ,$46.20 ,$79.60 ,$46.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Hawaii,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,066,0,Yes,Yes,,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,067,0,Yes,,,$42.50 ,$56.90 ,$99.40 ,$58.60 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,208,0,Yes,,,$2.50 ,$2.80 ,$5.30 ,$2.80 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,163,0,Yes,,,$78.60 ,$0.00 ,$78.60 ,$37.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,278,0,Yes,,,$103.90 ,$12.40 ,$116.30 ,$75.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,383,0,Yes,,,($4.70),$10.40 ,$5.70 ,$5.70 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,032,0,Yes,,,$75.40 ,$30.10 ,$105.50 ,$64.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Hawaii,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,115,0,Yes,,,$55.10 ,$0.00 ,$55.10 ,$14.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Hawaii,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,179,0,Yes,,,$94.70 ,$21.90 ,$116.60 ,$75.80 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Hawaii,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,212,0,Yes,,,$42.20 ,$4.80 ,$47.00 ,$6.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Hawaii,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,381,0,Yes,Yes,,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,414,0,Yes,,,$47.40 ,$6.80 ,$54.20 ,$13.40 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Hawaii,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,032,0,,,,$94.90 ,$0.00 ,$94.90 ,$54.10 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Hawaii,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,102,0,,,,$63.30 ,$15.90 ,$79.20 ,$38.40 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Hawaii,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,135,0,,,,($5.30),$28.40 ,$23.10 ,$23.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Hawaii,Hawaii,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Hawaii Island (HMO),HMO,No,,Enhanced Alternative,H1230,014,0,,,$123.50 ,$67.50 ,$0.00 ,$67.50 ,$26.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Hawaii,Hawaii,UnitedHealthcare,Local CCP,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,051,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Hawaii,Hawaii,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC HI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,093,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Hawaii,Hawaii,Wellcare,Local CCP,Wellcare 'Ohana Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,004,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Hawaii,Wellcare,Local CCP,Wellcare 'Ohana No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,015,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Hawaii,Hawaii,Wellcare,Local CCP,Wellcare 'Ohana Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,026,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Hawaii,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard (PPO),Local PPO,No,,Enhanced Alternative,H3832,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,3.5,4.0
Hawaii,Hawaii,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard Plus (PPO),Local PPO,No,,Enhanced Alternative,H3832,008,0,,,$90.50 ,$0.00 ,$39.50 ,$39.50 ,$39.50 ,$0.00 ,,,Yes,4.0,3.5,4.0
Hawaii,Hawaii,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3832,011,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Hawaii,Hawaii,AlohaCare,Local CCP,AlohaCare Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,002,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Hawaii,AlohaCare,Local CCP,AlohaCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Hawaii,Wellcare by �Ohana Health Plan,Local CCP,Wellcare 'Ohana Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6605,004,0,,,$33.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.0,3.0,2.0
Hawaii,Hawaii,UnitedHealthcare,Regional CCP,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R3175,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Hawaii,Honolulu,Humana,Local CCP,Humana Gold Plus H0028-048 (HMO),HMO,No,,Enhanced Alternative,H0028,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Hawaii,Honolulu,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H1230,001,0,,,$77.90 ,$61.10 ,$0.00 ,$61.10 ,$20.30 ,$0.00 ,,,Yes,3.5,4.0,4.0
Hawaii,Honolulu,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H1230,003,0,,,$0.30 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Hawaii,Honolulu,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1230,008,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Hawaii,Honolulu,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC HI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Hawaii,Honolulu,UnitedHealthcare,Local CCP,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,051,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Hawaii,Honolulu,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC HI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,058,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.20 ,$0.00 ,,,Yes,4.0,4.5,4.0
Hawaii,Honolulu,Wellcare,Local CCP,Wellcare 'Ohana Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,004,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Honolulu,Wellcare,Local CCP,Wellcare 'Ohana No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,009,0,,,$0.00 ,($11.70),$11.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Hawaii,Honolulu,Wellcare,Local CCP,Wellcare 'Ohana Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,026,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Honolulu,Devoted Health,Local CCP,Devoted CHOICE Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Honolulu,Devoted Health,Local CCP,Devoted CHOICE PLUS Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,002,0,,,$0.00 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Honolulu,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Honolulu,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H3832,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,3.5,4.0
Hawaii,Honolulu,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Complete Plus (PPO),Local PPO,No,,Enhanced Alternative,H3832,010,0,,,$75.70 ,$0.00 ,$44.30 ,$44.30 ,$44.30 ,$0.00 ,,,Yes,4.0,3.5,4.0
Hawaii,Honolulu,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3832,011,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Hawaii,Honolulu,Humana,Local CCP,HumanaChoice H5216-232 (PPO),Local PPO,No,,Enhanced Alternative,H5216,232,1,,,$12.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Honolulu,Humana,Local CCP,HumanaChoice H5216-233 (PPO),Local PPO,No,,Enhanced Alternative,H5216,233,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Honolulu,Humana,Local CCP,HumanaChoice H5216-313 (PPO),Local PPO,No,,Enhanced Alternative,H5216,313,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$160.00 ,1,,Yes,4.5,4.0,4.5
Hawaii,Honolulu,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,314,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Hawaii,Honolulu,AlohaCare,Local CCP,AlohaCare Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,002,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Honolulu,AlohaCare,Local CCP,AlohaCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Honolulu,Wellcare by �Ohana Health Plan,Local CCP,Wellcare 'Ohana No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6605,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.0
Hawaii,Honolulu,Wellcare by �Ohana Health Plan,Local CCP,Wellcare 'Ohana Assist Open (PPO),Local PPO,No,,Enhanced Alternative,H6605,003,0,,,$0.00 ,$11.60 ,$0.00 ,$11.60 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.0
Hawaii,Honolulu,UnitedHealthcare,Regional CCP,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R3175,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Hawaii,Kalawao,UnitedHealthcare,Local CCP,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,051,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Hawaii,Kalawao,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard (PPO),Local PPO,No,,Enhanced Alternative,H3832,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,3.5,4.0
Hawaii,Kalawao,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard Plus (PPO),Local PPO,No,,Enhanced Alternative,H3832,008,0,,,$90.50 ,$0.00 ,$39.50 ,$39.50 ,$39.50 ,$0.00 ,,,Yes,4.0,3.5,4.0
Hawaii,Kalawao,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3832,011,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Hawaii,Kalawao,AlohaCare,Local CCP,AlohaCare Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,002,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Kalawao,AlohaCare,Local CCP,AlohaCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Kalawao,UnitedHealthcare,Regional CCP,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R3175,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Hawaii,Kauai,Humana,Local CCP,Humana Gold Plus H0028-048 (HMO),HMO,No,,Enhanced Alternative,H0028,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Hawaii,Kauai,UnitedHealthcare,Local CCP,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,051,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Hawaii,Kauai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC HI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,059,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Hawaii,Kauai,Wellcare,Local CCP,Wellcare 'Ohana Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,004,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Kauai,Wellcare,Local CCP,Wellcare 'Ohana Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,026,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Kauai,Devoted Health,Local CCP,Devoted CHOICE Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Kauai,Devoted Health,Local CCP,Devoted CHOICE PLUS Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,002,0,,,$0.00 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Kauai,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Hawaii (PPO),Local PPO,No,,Enhanced Alternative,H2686,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Hawaii,Kauai,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard (PPO),Local PPO,No,,Enhanced Alternative,H3832,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,3.5,4.0
Hawaii,Kauai,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard Plus (PPO),Local PPO,No,,Enhanced Alternative,H3832,008,0,,,$90.50 ,$0.00 ,$39.50 ,$39.50 ,$39.50 ,$0.00 ,,,Yes,4.0,3.5,4.0
Hawaii,Kauai,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3832,011,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Hawaii,Kauai,Humana,Local CCP,HumanaChoice H5216-232 (PPO),Local PPO,No,,Enhanced Alternative,H5216,232,2,,,$20.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Kauai,Humana,Local CCP,HumanaChoice H5216-233 (PPO),Local PPO,No,,Enhanced Alternative,H5216,233,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Kauai,Humana,Local CCP,HumanaChoice H5216-313 (PPO),Local PPO,No,,Enhanced Alternative,H5216,313,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$160.00 ,1,,Yes,4.5,4.0,4.5
Hawaii,Kauai,AlohaCare,Local CCP,AlohaCare Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,002,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Kauai,AlohaCare,Local CCP,AlohaCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Kauai,Wellcare by �Ohana Health Plan,Local CCP,Wellcare 'Ohana Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6605,004,0,,,$33.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.0,3.0,2.0
Hawaii,Kauai,UnitedHealthcare,Regional CCP,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R3175,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Hawaii,Maui,Humana,Local CCP,Humana Gold Plus H0028-048 (HMO),HMO,No,,Enhanced Alternative,H0028,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Hawaii,Maui,Kaiser Permanente,Local CCP,Senior Advantage Medicare Medicaid (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1230,008,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Hawaii,Maui,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Maui (HMO),HMO,No,,Enhanced Alternative,H1230,013,0,,,$104.80 ,$61.20 ,$0.00 ,$61.20 ,$20.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Hawaii,Maui,UnitedHealthcare,Local CCP,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,051,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Hawaii,Maui,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC HI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,059,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Hawaii,Maui,Wellcare,Local CCP,Wellcare 'Ohana Dual Align (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,004,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Maui,Wellcare,Local CCP,Wellcare 'Ohana Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,026,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Hawaii,Maui,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard (PPO),Local PPO,No,,Enhanced Alternative,H3832,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,3.5,4.0
Hawaii,Maui,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Standard Plus (PPO),Local PPO,No,,Enhanced Alternative,H3832,008,0,,,$90.50 ,$0.00 ,$39.50 ,$39.50 ,$39.50 ,$0.00 ,,,Yes,4.0,3.5,4.0
Hawaii,Maui,HMSA Akamai Advantage,Local CCP,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3832,011,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Hawaii,Maui,Humana,Local CCP,HumanaChoice H5216-232 (PPO),Local PPO,No,,Enhanced Alternative,H5216,232,2,,,$20.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Maui,Humana,Local CCP,HumanaChoice H5216-233 (PPO),Local PPO,No,,Enhanced Alternative,H5216,233,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Hawaii,Maui,Humana,Local CCP,HumanaChoice H5216-313 (PPO),Local PPO,No,,Enhanced Alternative,H5216,313,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$160.00 ,1,,Yes,4.5,4.0,4.5
Hawaii,Maui,AlohaCare,Local CCP,AlohaCare Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,002,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Maui,AlohaCare,Local CCP,AlohaCare Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5969,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Hawaii,Maui,Wellcare by �Ohana Health Plan,Local CCP,Wellcare 'Ohana Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6605,004,0,,,$33.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.0,3.0,2.0
Hawaii,Maui,UnitedHealthcare,Regional CCP,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R3175,003,0,,Yes,$0.00 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Idaho,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,021,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Idaho,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,162,0,Yes,,,($18.10),$18.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Idaho,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,234,0,Yes,,,$34.00 ,$44.90 ,$78.90 ,$44.90 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Idaho,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,062,0,Yes,Yes,,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,063,0,Yes,,,$40.30 ,$62.70 ,$103.00 ,$62.70 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,206,0,Yes,,,$7.70 ,$2.20 ,$9.90 ,$2.20 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,153,0,Yes,,,$57.40 ,$0.00 ,$57.40 ,$13.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,276,0,Yes,,,$67.90 ,$10.20 ,$78.10 ,$33.70 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,381,0,Yes,,,($0.80),$14.80 ,$14.00 ,$14.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,030,0,Yes,,,$67.00 ,$30.00 ,$97.00 ,$52.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Idaho,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,147,0,Yes,,,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Idaho,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,177,0,Yes,,,$75.70 ,$27.00 ,$102.70 ,$58.30 ,$400.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Idaho,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,210,0,Yes,,,$35.10 ,$5.50 ,$40.60 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Idaho,(All Counties),Regence BlueShield of Idaho and Regence BC BS Utah,PDP,Regence Medicare Script Basic (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5916,001,0,,,,$94.00 ,$0.00 ,$94.00 ,$49.60 ,$515.00 ,1,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Regence BlueShield of Idaho and Regence BC BS Utah,PDP,Regence Medicare Script Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5916,002,0,,,,$74.50 ,$33.50 ,$108.00 ,$63.60 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,375,0,Yes,Yes,,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,412,0,Yes,,,$44.80 ,$7.00 ,$51.80 ,$7.40 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Idaho,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,030,0,,Yes,,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Idaho,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,100,0,,,,$62.50 ,$9.10 ,$71.60 ,$27.20 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Idaho,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,133,0,,,,($0.40),$20.70 ,$20.30 ,$20.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Idaho,Ada,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Ada,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Ada,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,1,,,$5.00 ,$48.00 ,$0.00 ,$48.00 ,$3.60 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Ada,Regence BlueShield of Idaho,Local CCP,Regence Blue MedAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1969,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,3.5
Idaho,Ada,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Ada,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Ada,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,008,0,,,$0.00 ,$3.00 ,$26.00 ,$29.00 ,$26.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Idaho,Ada,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Ada,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,024,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Ada,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Ada,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Ada,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,044,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,045,0,,,$22.50 ,$47.50 ,$0.00 ,$47.50 ,$3.10 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Idaho,Ada,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Ada,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Ada,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Ada,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Ada,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Ada,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Ada,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Ada,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Ada,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Ada,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Ada,Humana,Local CCP,Humana Gold Plus H5619-077 (HMO),HMO,No,,Enhanced Alternative,H5619,077,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Ada,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Ada,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Ada,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Ada,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Ada,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Ada,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Ada,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Adams,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Adams,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Adams,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Adams,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Adams,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Adams,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Adams,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Adams,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Adams,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bannock,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bannock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Bannock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bannock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bannock,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Bannock,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Bannock,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bannock,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Bannock,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bannock,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bear Lake,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Bear Lake,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Benewah,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Benewah,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bingham,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Bingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bingham,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Bingham,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Bingham,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bingham,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Bingham,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bingham,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Blaine,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Blaine,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Blaine,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,4,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Blaine,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Blaine,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Blaine,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Blaine,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Blaine,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Blaine,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Boise,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Boise,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Boise,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,1,,,$5.00 ,$48.00 ,$0.00 ,$48.00 ,$3.60 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Boise,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Boise,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Boise,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,008,0,,,$0.00 ,$3.00 ,$26.00 ,$29.00 ,$26.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Idaho,Boise,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,024,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Boise,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Boise,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Boise,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Boise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Boise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Boise,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Boise,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Boise,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Boise,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Boise,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Boise,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Boise,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Boise,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Boise,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bonner,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Bonner,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H1304,004,0,,,$82.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,3.5
Idaho,Bonner,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,2,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Bonner,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bonner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Bonner,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Bonner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bonner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bonner,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Bonner,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bonner,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bonner,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,002,0,,,$4.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Bonner,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bonner,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bonneville,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Bonneville,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Bonneville,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,026,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bonneville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Bonneville,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Bonneville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bonneville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Bonneville,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Bonneville,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Bonneville,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bonneville,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Bonneville,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Bonneville,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Boundary,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Boundary,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,2,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Boundary,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Boundary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Boundary,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Boundary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Boundary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Boundary,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Boundary,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Boundary,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Boundary,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Camas,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Camas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Camas,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Camas,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Camas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Camas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Camas,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Camas,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Camas,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Camas,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Canyon,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Canyon,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Canyon,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,1,,,$5.00 ,$48.00 ,$0.00 ,$48.00 ,$3.60 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Canyon,Regence BlueShield of Idaho,Local CCP,Regence Blue MedAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1969,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,3.5
Idaho,Canyon,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Canyon,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Canyon,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,008,0,,,$0.00 ,$3.00 ,$26.00 ,$29.00 ,$26.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Idaho,Canyon,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Canyon,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,024,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Canyon,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Canyon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Canyon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,044,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,045,0,,,$22.50 ,$47.50 ,$0.00 ,$47.50 ,$3.10 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Idaho,Canyon,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Canyon,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Canyon,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Canyon,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Canyon,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Canyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Canyon,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Canyon,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Canyon,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Canyon,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Canyon,Humana,Local CCP,Humana Gold Plus H5619-077 (HMO),HMO,No,,Enhanced Alternative,H5619,077,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Canyon,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Canyon,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Canyon,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Canyon,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Canyon,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Canyon,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Canyon,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Caribou,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Caribou,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Cassia,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Cassia,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,014,0,,,$30.70 ,$56.30 ,$0.00 ,$56.30 ,$11.90 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Cassia,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Cassia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Cassia,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Cassia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Cassia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Cassia,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Cassia,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Cassia,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Cassia,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Clark,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Clark,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Clark,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Clearwater,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Clearwater,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Elmore,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Elmore,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Elmore,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Elmore,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,008,0,,,$0.00 ,$3.00 ,$26.00 ,$29.00 ,$26.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Idaho,Elmore,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Elmore,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,024,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Elmore,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Elmore,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Elmore,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Elmore,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Elmore,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Elmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Elmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Elmore,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Elmore,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Elmore,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Elmore,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Elmore,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Elmore,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Elmore,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Elmore,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Elmore,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Franklin,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Franklin,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Franklin,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Franklin,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Franklin,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Fremont,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Fremont,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Fremont,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Fremont,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Fremont,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Gem,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Gem,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Gem,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,1,,,$5.00 ,$48.00 ,$0.00 ,$48.00 ,$3.60 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Gem,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Gem,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Gem,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,008,0,,,$0.00 ,$3.00 ,$26.00 ,$29.00 ,$26.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Idaho,Gem,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Gem,Select Health,Local CCP,Select Health Medicare Flex (HMO),HMO,No,,Enhanced Alternative,H1994,024,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Gem,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Gem,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Gem,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Gem,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Gem,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Gem,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Gem,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Gem,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Gem,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Gem,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Gem,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Gem,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Gem,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Gem,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Gem,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Gem,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Gem,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Gem,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Gem,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Gem,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Gem,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Gooding,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Gooding,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,4,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Gooding,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,014,0,,,$30.70 ,$56.30 ,$0.00 ,$56.30 ,$11.90 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Gooding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Gooding,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Gooding,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Gooding,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Gooding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Gooding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Gooding,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Gooding,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Gooding,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Idaho,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Idaho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Idaho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Idaho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Jefferson,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Jefferson,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Jefferson,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Jefferson,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Jefferson,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Jerome,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Jerome,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,4,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Jerome,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,014,0,,,$30.70 ,$56.30 ,$0.00 ,$56.30 ,$11.90 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Jerome,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Jerome,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Jerome,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Jerome,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Jerome,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Jerome,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Jerome,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Jerome,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Jerome,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Kootenai,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Kootenai,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H1304,004,0,,,$82.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,3.5
Idaho,Kootenai,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,2,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Kootenai,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Kootenai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Kootenai,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Kootenai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Kootenai,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Kootenai,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Kootenai,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Kootenai,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Kootenai,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,002,0,,,$4.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Kootenai,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Kootenai,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Latah,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Latah,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H1304,004,0,,,$82.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,3.5
Idaho,Latah,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Latah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Latah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Latah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Latah,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Lincoln,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Lincoln,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,4,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Lincoln,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Lincoln,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Lincoln,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Lincoln,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Lincoln,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Lincoln,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Lincoln,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Madison,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Madison,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Madison,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Madison,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Madison,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Minidoka,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Minidoka,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,014,0,,,$30.70 ,$56.30 ,$0.00 ,$56.30 ,$11.90 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Minidoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Minidoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Minidoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Minidoka,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Minidoka,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Minidoka,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Minidoka,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Nez Perce,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Nez Perce,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H1304,004,0,,,$82.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,3.5
Idaho,Nez Perce,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,2,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Nez Perce,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Nez Perce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Nez Perce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Nez Perce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Nez Perce,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Nez Perce,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Nez Perce,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Oneida,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Oneida,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Owyhee,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Owyhee,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H1304,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,3.5
Idaho,Owyhee,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,1,,,$5.00 ,$48.00 ,$0.00 ,$48.00 ,$3.60 ,$200.00 ,1,,,4.0,4.0,3.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Rx Preferred (HMO),HMO,No,,Enhanced Alternative,H1350,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Owyhee,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Owyhee,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Owyhee,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Owyhee,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Owyhee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Owyhee,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Owyhee,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Owyhee,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Owyhee,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Owyhee,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Owyhee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Owyhee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Owyhee,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Owyhee,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Owyhee,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Owyhee,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Owyhee,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Owyhee,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Owyhee,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Owyhee,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Owyhee,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Payette,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Payette,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Payette,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Payette,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Payette,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Payette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Payette,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Payette,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Payette,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Payette,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Payette,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Payette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Payette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Payette,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Payette,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Payette,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Payette,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Payette,Humana,Local CCP,Humana Gold Plus H5619-077 (HMO),HMO,No,,Enhanced Alternative,H5619,077,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Payette,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Payette,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Payette,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Payette,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Payette,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Payette,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Payette,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Power,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Power,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Idaho,Power,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Power,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Power,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Shoshone,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,3,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Shoshone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Shoshone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,013,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Shoshone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Shoshone,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,002,0,,,$4.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Shoshone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Shoshone,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Twin Falls,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,2,,,$38.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Twin Falls,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,4,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Twin Falls,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,004,0,,,$0.00 ,$78.00 ,$0.00 ,$78.00 ,$33.60 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Twin Falls,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Twin Falls,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Twin Falls,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Twin Falls,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Twin Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Idaho,Twin Falls,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Twin Falls,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Twin Falls,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 32 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Twin Falls,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Twin Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,014,0,,,$43.40 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Twin Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Twin Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Twin Falls,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Twin Falls,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Twin Falls,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Twin Falls,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,008,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Twin Falls,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.5,3.0
Idaho,Twin Falls,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,011,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Idaho,Twin Falls,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Twin Falls,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Valley,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Valley,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Valley,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Valley,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Valley,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Valley,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 24 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,024,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$100.00 ,1,,Yes,3.5,3.5,3.5
Idaho,Valley,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Valley,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Valley,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Idaho,Valley,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Valley,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Valley,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Valley,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Washington,UnitedHealthcare,Local CCP,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,043,0,,Yes,$0.00 ,$18.20 ,$0.00 ,$18.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx | St. Luke's Health Partners (HMO),HMO,No,,Enhanced Alternative,H1350,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.5,4.5,4.5
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx Gem (HMO),HMO,No,,Enhanced Alternative,H1350,024,1,,,$35.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx Essentials (HMO),HMO,No,,Enhanced Alternative,H1350,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx Option I (HMO),HMO,No,,Enhanced Alternative,H1350,028,0,,,$93.70 ,$0.00 ,$46.30 ,$46.30 ,$46.30 ,$0.00 ,,,,4.5,4.5,4.5
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx Option II (HMO),HMO,No,,Enhanced Alternative,H1350,029,0,,,$82.10 ,$11.10 ,$28.80 ,$39.90 ,$28.80 ,$250.00 ,1,,,4.5,4.5,4.5
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Rx (HMO),HMO,No,,Enhanced Alternative,H1350,030,0,,,$41.50 ,$0.00 ,$30.50 ,$30.50 ,$30.50 ,$175.00 ,1,,,4.5,4.5,4.5
Idaho,Washington,Regence BlueShield of Idaho,Local CCP,Regence | St. Luke's Health Partners Align (HMO),HMO,No,,Enhanced Alternative,H1969,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,4.0,3.5,3.5
Idaho,Washington,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,013,0,,,$0.40 ,$60.60 ,$0.00 ,$60.60 ,$16.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Idaho,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Idaho,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Idaho,Washington,Humana,Local CCP,Humana Gold Plus H2486-005 (HMO),HMO,No,,Enhanced Alternative,H2486,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Idaho,Washington,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H3828,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Washington,American Health Advantage of Utah,Local CCP,American Health Advantage of Idaho (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,003,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Idaho,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ID-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,012,0,,,$0.50 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Idaho,Washington,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Idaho,Washington,Humana,Local CCP,Humana Value Plus H5216-293 (PPO),Local PPO,No,,Basic Alternative,H5216,293,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$500.00 ,,,,4.5,4.0,4.5
Idaho,Washington,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H6910,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Idaho,Washington,Saint Alphonsus Health Plan,Local CCP,Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO),HMO,No,,Enhanced Alternative,H6910,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.0,3.5
Idaho,Washington,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,006,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Idaho,Washington,Blue Cross of Idaho,Local CCP,True Blue Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9656,002,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,087,0,Yes,Yes,,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Illinois,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,151,0,Yes,,,($21.40),$21.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Illinois,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,220,0,Yes,,,$31.60 ,$47.40 ,$79.00 ,$47.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Illinois,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,034,0,Yes,,,$39.40 ,$0.00 ,$39.40 ,$6.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,035,0,Yes,,,$47.70 ,$55.70 ,$103.40 ,$70.60 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,192,0,Yes,,,$7.20 ,$2.70 ,$9.90 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,224,0,Yes,,,$42.30 ,$0.00 ,$42.30 ,$9.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,262,0,Yes,,,$66.20 ,$12.20 ,$78.40 ,$45.60 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,367,0,Yes,,,($0.70),$18.70 ,$18.00 ,$18.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,001,0,,,,$59.10 ,$19.00 ,$78.10 ,$45.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Basic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5715,012,0,,,,$73.60 ,$0.00 ,$73.60 ,$40.80 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Choice (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,019,0,,,,$20.80 ,$6.90 ,$27.70 ,$6.90 ,$545.00 ,1,,,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,016,0,Yes,,,$69.10 ,$30.70 ,$99.80 ,$67.00 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,107,0,Yes,,,$40.40 ,$0.00 ,$40.40 ,$7.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,163,0,Yes,,,$85.40 ,$23.20 ,$108.60 ,$75.80 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,196,0,Yes,,,$33.10 ,$6.60 ,$39.70 ,$6.90 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Illinois,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,362,0,Yes,,,$55.20 ,$0.00 ,$55.20 ,$22.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,398,0,Yes,,,$36.70 ,$9.40 ,$46.10 ,$13.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Illinois,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,016,0,,,,$93.10 ,$0.00 ,$93.10 ,$60.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Illinois,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,086,0,,,,$50.20 ,$16.70 ,$66.90 ,$34.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Illinois,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,119,0,,,,($2.40),$26.40 ,$24.00 ,$24.00 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Illinois,Adams,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Adams,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Adams,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Adams,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Adams,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Adams,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Adams,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Adams,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Adams,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Adams,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Adams,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Adams,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Adams,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Adams,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Adams,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Adams,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Adams,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Alexander,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Alexander,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Alexander,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Alexander,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Alexander,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Alexander,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Alexander,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Alexander,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Alexander,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Alexander,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Alexander,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Alexander,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Alexander,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Alexander,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Bond,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Bond,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Bond,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bond,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Bond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Bond,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Bond,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bond,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Bond,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Bond,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bond,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Bond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Bond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Bond,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bond,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bond,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Bond,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Bond,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bond,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Bond,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Bond,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Bond,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Bond,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Bond,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Bond,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Bond,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bond,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bond,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bond,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Boone,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Boone,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Boone,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Boone,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Boone,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Boone,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Boone,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Boone,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Boone,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Boone,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Boone,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Boone,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Boone,Zing Health,Local CCP,Zing Elite Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Boone,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Boone,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Boone,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Boone,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Boone,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Boone,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Boone,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Boone,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Boone,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Boone,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Boone,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Boone,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Boone,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Boone,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Boone,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Boone,Zing Health,Local CCP,Zing Elite Select IL (HMO),HMO,No,,Enhanced Alternative,H7330,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Boone,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Boone,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Boone,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Boone,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Brown,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Brown,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Brown,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Brown,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Brown,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Brown,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Brown,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Brown,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Brown,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Brown,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Brown,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Brown,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Brown,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Brown,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Brown,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Brown,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Brown,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Brown,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Brown,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Brown,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Brown,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Brown,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Brown,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Brown,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Bureau,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Bureau,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bureau,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bureau,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bureau,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bureau,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bureau,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Bureau,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bureau,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bureau,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Bureau,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Bureau,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Bureau,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Bureau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Bureau,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Bureau,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Bureau,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Bureau,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bureau,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Bureau,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Bureau,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Bureau,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Bureau,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Bureau,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Bureau,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Bureau,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Bureau,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Bureau,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bureau,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bureau,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Bureau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Bureau,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Bureau,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Calhoun,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Calhoun,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Calhoun,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Calhoun,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Calhoun,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Calhoun,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Calhoun,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Calhoun,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Calhoun,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Calhoun,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Calhoun,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Calhoun,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Calhoun,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Calhoun,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Calhoun,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Calhoun,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Carroll,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Carroll,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Carroll,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Carroll,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Carroll,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Carroll,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Carroll,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Carroll,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Carroll,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Carroll,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Carroll,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Carroll,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Carroll,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Carroll,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Carroll,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Carroll,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Carroll,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Carroll,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Carroll,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Carroll,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Carroll,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Carroll,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Cass,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Cass,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cass,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cass,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cass,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cass,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cass,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cass,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cass,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cass,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Cass,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Cass,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Cass,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Cass,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cass,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cass,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cass,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Cass,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cass,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cass,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cass,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Cass,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Champaign,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Champaign,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Champaign,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Champaign,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Champaign,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Champaign,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Champaign,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Champaign,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Champaign,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Champaign,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Champaign,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Champaign,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Champaign,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Champaign,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Champaign,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Champaign,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Champaign,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Champaign,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Champaign,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Champaign,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Christian,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Christian,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Christian,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Christian,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Christian,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Christian,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Christian,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Christian,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Christian,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Christian,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Christian,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Christian,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Christian,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Christian,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Christian,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Christian,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Christian,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Christian,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Christian,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Clark,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Clark,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clark,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clark,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Clark,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Clark,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Clark,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clark,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clark,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clark,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Clark,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clark,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clark,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clark,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Clark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Clark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Clark,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Clay,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Clay,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clay,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clay,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clay,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clay,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clay,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clay,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Clay,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Clay,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Clay,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clay,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clay,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Clay,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Clay,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clay,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Clay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Clay,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Clinton,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Clinton,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Clinton,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clinton,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Clinton,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clinton,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Clinton,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Clinton,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clinton,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Clinton,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clinton,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Clinton,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Clinton,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Clinton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clinton,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Clinton,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clinton,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Clinton,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Clinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Clinton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Clinton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Clinton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Clinton,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Clinton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clinton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Clinton,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Coles,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Coles,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Coles,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Coles,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Coles,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Coles,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Coles,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Coles,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Coles,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Coles,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Coles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Coles,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Coles,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Coles,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Coles,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Coles,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Coles,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Coles,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Coles,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Coles,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Coles,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Coles,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Coles,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Coles,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Coles,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Coles,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Coles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Coles,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Coles,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Cook,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Cook,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cook,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Cook,UnitedHealthcare,Local CCP,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,055,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Illinois,Cook,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cook,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cook,Humana,Local CCP,Humana Gold Plus H1468-013 (HMO),HMO,No,,Enhanced Alternative,H1468,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Cook,Humana,Local CCP,Humana Community HMO Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1468,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Cook,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cook,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Cook,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H2802,027,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Cook,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Cook,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Cook,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Cook,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Cook,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Cook,Zing Health,Local CCP,Zing Elite Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Cook,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cook,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cook,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Cook,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Cook,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium Exclusive (HMO),HMO,No,,Enhanced Alternative,H5779,007,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cook,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cook,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Cook,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Cook,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Cook,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Cook,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Cook,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Cook,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Cook,Zing Health,Local CCP,Zing Elite Select IL (HMO),HMO,No,,Enhanced Alternative,H7330,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Cook,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H7399,001,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Illinois,Cook,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cook,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cook,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Cook,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Elite (PPO),Local PPO,No,,Enhanced Alternative,H8634,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cook,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Cook,Longevity Health,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9590,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Illinois,Cook,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Crawford,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Crawford,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Crawford,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Crawford,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Crawford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Crawford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Crawford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Crawford,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Crawford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Crawford,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Crawford,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Crawford,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Crawford,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Crawford,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Crawford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Crawford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Crawford,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Crawford,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Crawford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Crawford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Crawford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Crawford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Crawford,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Cumberland,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Cumberland,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cumberland,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cumberland,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cumberland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cumberland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cumberland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cumberland,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cumberland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Cumberland,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Cumberland,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Cumberland,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cumberland,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Cumberland,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cumberland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Cumberland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Cumberland,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Cumberland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cumberland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Cumberland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cumberland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Cumberland,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,De Witt,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,De Witt,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,De Witt,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,De Witt,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,De Witt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,De Witt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,De Witt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,De Witt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,De Witt,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,De Witt,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,De Witt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,De Witt,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,De Witt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,De Witt,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,De Witt,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,De Witt,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,De Witt,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,De Witt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,De Witt,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,De Witt,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,De Witt,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,De Witt,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,De Witt,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,De Witt,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,De Witt,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,De Witt,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,De Witt,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,De Witt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,De Witt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,De Witt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,De Witt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,De Witt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,De Witt,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,De Witt,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,DeKalb,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,DeKalb,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DeKalb,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DeKalb,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Humana,Local CCP,Humana Gold Plus H1468-014 (HMO),HMO,No,,Enhanced Alternative,H1468,014,0,,,$10.80 ,$38.20 ,$0.00 ,$38.20 ,$5.40 ,$0.00 ,,,,4.5,5.0,4.5
Illinois,DeKalb,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DeKalb,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,DeKalb,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,DeKalb,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,DeKalb,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,DeKalb,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DeKalb,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,DeKalb,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,DeKalb,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,DeKalb,Zing Health,Local CCP,Zing Select Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,DeKalb,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,007,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.5
Illinois,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DeKalb,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DeKalb,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,DeKalb,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Douglas,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Douglas,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Douglas,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Douglas,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Douglas,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Douglas,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Douglas,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Douglas,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Douglas,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Douglas,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Douglas,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Douglas,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Douglas,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Douglas,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Douglas,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Douglas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Douglas,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Douglas,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Douglas,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Douglas,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Douglas,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Douglas,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Douglas,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Douglas,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,DuPage,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,DuPage,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DuPage,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,DuPage,UnitedHealthcare,Local CCP,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,055,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Illinois,DuPage,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DuPage,Humana,Local CCP,Humana Gold Plus H1468-013 (HMO),HMO,No,,Enhanced Alternative,H1468,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,DuPage,Humana,Local CCP,Humana Community HMO Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1468,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,DuPage,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DuPage,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,DuPage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,DuPage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,DuPage,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H2802,027,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,DuPage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,DuPage,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,DuPage,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DuPage,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,DuPage,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DuPage,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,DuPage,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,DuPage,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,DuPage,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Duly Prime (PPO),Local PPO,No,,Enhanced Alternative,H5521,314,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,DuPage,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,DuPage,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,DuPage,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DuPage,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,DuPage,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,DuPage,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,DuPage,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,DuPage,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,DuPage,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,DuPage,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,DuPage,Zing Health,Local CCP,Zing Select Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,DuPage,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,007,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.5
Illinois,DuPage,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H7399,001,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Illinois,DuPage,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DuPage,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,DuPage,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,DuPage,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Elite (PPO),Local PPO,No,,Enhanced Alternative,H8634,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DuPage,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,DuPage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,DuPage,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,DuPage,Longevity Health,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9590,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Illinois,DuPage,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Edgar,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Edgar,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edgar,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edgar,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edgar,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Edgar,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Edgar,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edgar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Edgar,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Edgar,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Edgar,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edgar,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Edgar,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Edgar,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edgar,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edgar,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edgar,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edgar,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edgar,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Edgar,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edgar,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edgar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Edgar,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Edgar,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Edwards,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Edwards,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edwards,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edwards,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edwards,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edwards,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edwards,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edwards,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edwards,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Edwards,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Edwards,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Edwards,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Edwards,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Edwards,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edwards,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Edwards,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Edwards,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edwards,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edwards,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Edwards,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Edwards,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Edwards,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edwards,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Edwards,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edwards,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Edwards,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Effingham,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Effingham,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Effingham,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Effingham,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Effingham,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Effingham,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Effingham,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Effingham,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Effingham,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Effingham,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Effingham,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Effingham,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Effingham,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Effingham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Effingham,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Effingham,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Effingham,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Effingham,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Effingham,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Effingham,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Effingham,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Effingham,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Effingham,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Fayette,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Fayette,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fayette,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Fayette,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fayette,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Fayette,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Fayette,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fayette,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Fayette,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Fayette,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Fayette,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Fayette,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fayette,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fayette,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fayette,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Fayette,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fayette,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fayette,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Ford,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Ford,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ford,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ford,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ford,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ford,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Ford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Ford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Ford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Ford,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ford,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Ford,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Ford,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Ford,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Ford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Ford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Ford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Ford,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Ford,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Ford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Ford,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Ford,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Franklin,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Franklin,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Franklin,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Franklin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Franklin,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Franklin,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Franklin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Franklin,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Franklin,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Franklin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Franklin,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Franklin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Franklin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Franklin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Franklin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Franklin,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Fulton,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Fulton,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fulton,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fulton,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fulton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fulton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fulton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fulton,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fulton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Fulton,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Fulton,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Fulton,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Fulton,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Fulton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Fulton,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Fulton,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fulton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Fulton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fulton,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Fulton,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Fulton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Fulton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fulton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fulton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Fulton,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Gallatin,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Gallatin,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Gallatin,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Gallatin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Gallatin,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Gallatin,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Gallatin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Gallatin,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Gallatin,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Gallatin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Gallatin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Gallatin,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Gallatin,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Gallatin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Gallatin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Gallatin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Gallatin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Gallatin,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Greene,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Greene,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Greene,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Greene,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Greene,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Greene,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Greene,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Greene,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Greene,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Greene,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Greene,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Greene,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Greene,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Greene,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Greene,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Greene,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Greene,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Grundy,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Grundy,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Grundy,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Grundy,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Grundy,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Grundy,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Grundy,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Grundy,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Grundy,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Grundy,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Grundy,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Grundy,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Grundy,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Grundy,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Grundy,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Grundy,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Hamilton,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Hamilton,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hamilton,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hamilton,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hamilton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Hamilton,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Hamilton,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Hamilton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hamilton,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hamilton,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hamilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Hamilton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hamilton,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hamilton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hamilton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Hamilton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hamilton,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Hamilton,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Hancock,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Hancock,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hancock,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hancock,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hancock,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hancock,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hancock,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hancock,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hancock,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Hancock,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Hancock,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Hancock,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Hancock,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Hancock,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Hancock,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hancock,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hancock,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Hancock,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Hancock,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hancock,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Hancock,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hancock,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hancock,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Hancock,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Hardin,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hardin,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hardin,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hardin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Hardin,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Hardin,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Hardin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hardin,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Hardin,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hardin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Hardin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Hardin,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Hardin,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Hardin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hardin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Hardin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hardin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Hardin,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Henderson,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Henderson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henderson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henderson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henderson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henderson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henderson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Henderson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henderson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Henderson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Henderson,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Henderson,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Henderson,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Henderson,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Henderson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Henderson,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Henderson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henderson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Henderson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Henderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Henderson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henderson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Henderson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henderson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henderson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Henderson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Henry,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Henry,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henry,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Henry,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Henry,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Illinois,Henry,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Illinois,Henry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Henry,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Henry,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Henry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Henry,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Henry,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Henry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Henry,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Henry,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Henry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Henry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Henry,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Iroquois,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Iroquois,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Iroquois,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Iroquois,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Iroquois,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Iroquois,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Iroquois,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Iroquois,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Iroquois,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Iroquois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Iroquois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Iroquois,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Iroquois,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Iroquois,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Iroquois,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Iroquois,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Iroquois,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Iroquois,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Iroquois,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Iroquois,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Iroquois,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Iroquois,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Iroquois,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Iroquois,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Iroquois,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Iroquois,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Iroquois,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Iroquois,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Iroquois,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Iroquois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Iroquois,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Iroquois,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Jackson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jackson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jackson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jackson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jackson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jackson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jackson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jackson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jackson,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jackson,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Jackson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jackson,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jackson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Jackson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jackson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jackson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jackson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Jackson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jackson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jackson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Jasper,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Jasper,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jasper,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jasper,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jasper,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jasper,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Jasper,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Jasper,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jasper,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jasper,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jasper,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Jasper,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jasper,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jasper,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jasper,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Jasper,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jasper,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jasper,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Jefferson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jefferson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jefferson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jefferson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jefferson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jefferson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jefferson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jefferson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jefferson,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Jefferson,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Jefferson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jefferson,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jefferson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jefferson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jefferson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jefferson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Jefferson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jefferson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jefferson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Jersey,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Jersey,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Jersey,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jersey,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Jersey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jersey,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jersey,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jersey,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Jersey,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Jersey,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jersey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jersey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jersey,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jersey,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jersey,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jersey,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Jersey,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jersey,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Jersey,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Jersey,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Jersey,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Jersey,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jersey,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Jersey,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Jersey,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jersey,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jersey,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Jersey,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Jo Daviess,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Jo Daviess,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jo Daviess,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jo Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jo Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jo Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jo Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jo Daviess,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jo Daviess,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Jo Daviess,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Illinois,Jo Daviess,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Illinois,Jo Daviess,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Jo Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Jo Daviess,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Jo Daviess,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Jo Daviess,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Jo Daviess,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Jo Daviess,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jo Daviess,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jo Daviess,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Jo Daviess,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Jo Daviess,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Jo Daviess,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Jo Daviess,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Jo Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jo Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Jo Daviess,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Johnson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Johnson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Johnson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Johnson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Johnson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Johnson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Johnson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Johnson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Johnson,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Johnson,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Johnson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Johnson,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Johnson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Johnson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Johnson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Johnson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Johnson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Johnson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Johnson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Johnson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Johnson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Johnson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Kane,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Kane,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Kane,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kane,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kane,Humana,Local CCP,Humana Gold Plus H1468-014 (HMO),HMO,No,,Enhanced Alternative,H1468,014,0,,,$10.80 ,$38.20 ,$0.00 ,$38.20 ,$5.40 ,$0.00 ,,,,4.5,5.0,4.5
Illinois,Kane,Humana,Local CCP,Humana Community Select (HMO),HMO,No,,Enhanced Alternative,H1468,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Kane,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kane,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Kane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H2802,027,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Kane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kane,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Kane,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Kane,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Kane,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kane,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kane,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Kane,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Kane,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Duly Prime (PPO),Local PPO,No,,Enhanced Alternative,H5521,314,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium Exclusive (HMO),HMO,No,,Enhanced Alternative,H5779,007,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kane,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kane,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Kane,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Kane,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Kane,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kane,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Kane,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Kane,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Kane,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H7399,001,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Illinois,Kane,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kane,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kane,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Kane,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kane,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Kane,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Kane,Longevity Health,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9590,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Illinois,Kane,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Kankakee,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Kankakee,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kankakee,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kankakee,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kankakee,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Kankakee,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kankakee,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Humana,Local CCP,Humana Gold Plus H1468-013 (HMO),HMO,No,,Enhanced Alternative,H1468,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Kankakee,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kankakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kankakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kankakee,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kankakee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kankakee,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kankakee,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Kankakee,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Kankakee,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Kankakee,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Kankakee,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kankakee,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kankakee,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kankakee,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Kankakee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Kankakee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Kankakee,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kankakee,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Kankakee,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Kankakee,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Kankakee,Zing Health,Local CCP,Zing Select Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Kankakee,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,007,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.5
Illinois,Kankakee,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H7399,001,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Illinois,Kankakee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kankakee,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kankakee,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kankakee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kankakee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kankakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Kankakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Kankakee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Kendall,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Kendall,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kendall,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kendall,Humana,Local CCP,Humana Gold Plus H1468-014 (HMO),HMO,No,,Enhanced Alternative,H1468,014,0,,,$10.80 ,$38.20 ,$0.00 ,$38.20 ,$5.40 ,$0.00 ,,,,4.5,5.0,4.5
Illinois,Kendall,Humana,Local CCP,Humana Community Select (HMO),HMO,No,,Enhanced Alternative,H1468,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Kendall,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kendall,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Kendall,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Kendall,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kendall,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Kendall,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Kendall,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kendall,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Kendall,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kendall,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Kendall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Kendall,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Kendall,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kendall,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Kendall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Kendall,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Kendall,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Kendall,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kendall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Kendall,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Knox,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Knox,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Knox,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Knox,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Knox,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Knox,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Knox,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Knox,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Knox,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Knox,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Knox,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Knox,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Knox,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Knox,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Knox,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Knox,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Knox,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Knox,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Knox,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Knox,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Knox,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Knox,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Knox,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,La Salle,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,La Salle,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,La Salle,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,La Salle,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,La Salle,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,La Salle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,La Salle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,La Salle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,La Salle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,La Salle,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,La Salle,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,La Salle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,La Salle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,La Salle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,La Salle,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,La Salle,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,La Salle,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,La Salle,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,La Salle,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,La Salle,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,La Salle,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,La Salle,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,La Salle,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,La Salle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,La Salle,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,La Salle,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,La Salle,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,La Salle,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,La Salle,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,La Salle,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,La Salle,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,La Salle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,La Salle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,La Salle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,La Salle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,La Salle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,La Salle,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,La Salle,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Lake,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Lake,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Lake,UnitedHealthcare,Local CCP,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,055,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Illinois,Lake,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lake,Humana,Local CCP,Humana Gold Plus H1468-013 (HMO),HMO,No,,Enhanced Alternative,H1468,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Lake,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H2802,027,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Lake,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lake,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Lake,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Lake,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lake,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lake,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Lake,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lake,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Lake,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Lake,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Lake,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Lake,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Lake,Zing Health,Local CCP,Zing Select Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Lake,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7330,007,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,2.0,3.0,2.5
Illinois,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lake,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lake,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lake,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Lake,Longevity Health,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9590,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Illinois,Lake,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Lawrence,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Lawrence,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lawrence,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lawrence,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lawrence,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lawrence,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lawrence,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lawrence,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lawrence,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lawrence,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Lawrence,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Lawrence,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lawrence,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lawrence,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Lawrence,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lawrence,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Lawrence,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lawrence,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Lawrence,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Lee,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Lee,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lee,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lee,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lee,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lee,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lee,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Lee,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Lee,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Lee,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Lee,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Lee,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Lee,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Lee,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Lee,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Lee,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Lee,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Lee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Lee,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Lee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Lee,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Lee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lee,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Lee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Livingston,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Livingston,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Livingston,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Livingston,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Livingston,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Livingston,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Livingston,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Livingston,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Livingston,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Livingston,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Livingston,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Livingston,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Livingston,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Livingston,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Livingston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Livingston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Livingston,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Livingston,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Livingston,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Livingston,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Livingston,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Livingston,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Livingston,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Logan,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Logan,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Logan,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Logan,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Logan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Logan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Logan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Logan,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Logan,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Logan,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Logan,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Logan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Logan,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Logan,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Logan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Logan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Logan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Logan,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Logan,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Logan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Logan,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Logan,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Logan,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Logan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Logan,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Macon,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Macon,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macon,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macon,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Macon,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Macon,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Macon,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Macon,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Macon,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Macon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macon,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Macon,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macon,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Macon,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Macoupin,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Macoupin,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Macoupin,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macoupin,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macoupin,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Macoupin,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Macoupin,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macoupin,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Macoupin,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Macoupin,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Macoupin,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Macoupin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Macoupin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Macoupin,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Macoupin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Macoupin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Macoupin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Macoupin,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Macoupin,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macoupin,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Macoupin,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Macoupin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Macoupin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Macoupin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macoupin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macoupin,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Macoupin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Macoupin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Macoupin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Macoupin,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macoupin,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Macoupin,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Madison,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Madison,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Madison,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Madison,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Madison,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Madison,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Madison,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Madison,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Madison,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Madison,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Madison,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Madison,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Madison,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Illinois,Madison,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Madison,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Madison,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Madison,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Madison,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Madison,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Madison,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Madison,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Madison,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Madison,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Madison,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Madison,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Madison,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Madison,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Madison,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Madison,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Madison,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Madison,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Madison,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Marion,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Marion,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marion,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marion,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Marion,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Marion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Marion,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marion,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Marion,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Marion,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Marion,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Marion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Marion,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marion,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Marion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marion,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Marshall,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Marshall,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marshall,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marshall,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Marshall,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Marshall,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marshall,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Marshall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Marshall,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Marshall,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Marshall,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Marshall,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Marshall,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Marshall,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marshall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Marshall,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Marshall,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Marshall,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Marshall,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,Marshall,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Marshall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Marshall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marshall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marshall,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Marshall,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Mason,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Mason,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mason,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mason,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mason,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mason,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mason,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mason,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Mason,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Mason,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Mason,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Mason,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Mason,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mason,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Mason,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Mason,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Mason,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Mason,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Mason,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Mason,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Mason,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mason,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mason,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Mason,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Massac,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Massac,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Massac,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Massac,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Massac,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Massac,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Massac,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Massac,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Massac,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Massac,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Massac,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,McDonough,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,McDonough,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McDonough,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McDonough,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McDonough,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McDonough,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McDonough,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McDonough,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McDonough,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,McDonough,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McDonough,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McDonough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,McDonough,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,McDonough,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,McDonough,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,McDonough,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McDonough,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McDonough,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McDonough,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,McDonough,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,McDonough,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McDonough,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McDonough,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,McDonough,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McDonough,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McDonough,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,McDonough,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McDonough,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McDonough,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McDonough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,McDonough,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,McDonough,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,McHenry,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,McHenry,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McHenry,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McHenry,Humana,Local CCP,Humana Gold Plus H1468-014 (HMO),HMO,No,,Enhanced Alternative,H1468,014,0,,,$10.80 ,$38.20 ,$0.00 ,$38.20 ,$5.40 ,$0.00 ,,,,4.5,5.0,4.5
Illinois,McHenry,Humana,Local CCP,Humana Community Select (HMO),HMO,No,,Enhanced Alternative,H1468,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,McHenry,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,McHenry,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,McHenry,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,McHenry,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,McHenry,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,McHenry,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,McHenry,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McHenry,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McHenry,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,McHenry,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,McHenry,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,McHenry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McHenry,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McHenry,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McHenry,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,McHenry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,McHenry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,McHenry,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,McHenry,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,McHenry,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,McHenry,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,McHenry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McHenry,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McHenry,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,McHenry,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McHenry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,McHenry,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,McLean,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,McLean,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McLean,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,McLean,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McLean,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,McLean,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,McLean,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McLean,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,McLean,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,McLean,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,McLean,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,McLean,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,McLean,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McLean,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,McLean,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McLean,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,McLean,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,McLean,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McLean,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McLean,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,McLean,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,McLean,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,McLean,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,McLean,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,McLean,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,McLean,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,McLean,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,McLean,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McLean,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McLean,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,McLean,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Menard,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Menard,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Menard,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Menard,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Menard,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Menard,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Menard,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Menard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Menard,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Menard,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Menard,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Menard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Menard,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Menard,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Menard,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Menard,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Menard,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Menard,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Menard,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Menard,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Menard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Menard,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Menard,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Mercer,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Mercer,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mercer,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mercer,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Mercer,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Mercer,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Mercer,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Mercer,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Mercer,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Mercer,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mercer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Mercer,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Mercer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Mercer,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Mercer,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Mercer,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mercer,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mercer,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Mercer,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Monroe,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Monroe,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Monroe,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Monroe,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Monroe,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Monroe,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Monroe,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Monroe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Monroe,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Illinois,Monroe,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Monroe,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Monroe,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Monroe,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Monroe,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Monroe,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Monroe,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Monroe,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Monroe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Monroe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Monroe,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Monroe,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Monroe,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Illinois,Monroe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Monroe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Monroe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Monroe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Monroe,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Montgomery,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Montgomery,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Montgomery,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Montgomery,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Montgomery,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Montgomery,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Montgomery,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Montgomery,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Montgomery,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Montgomery,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Montgomery,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Montgomery,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Montgomery,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Montgomery,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Montgomery,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Montgomery,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Montgomery,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Montgomery,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Morgan,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Morgan,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Morgan,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Morgan,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Morgan,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Morgan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Morgan,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Morgan,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Morgan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Morgan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Morgan,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Morgan,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Morgan,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Moultrie,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Moultrie,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Moultrie,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Moultrie,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Moultrie,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Moultrie,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Moultrie,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Moultrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Moultrie,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Moultrie,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Moultrie,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Moultrie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Moultrie,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Moultrie,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Moultrie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Moultrie,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Moultrie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Moultrie,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Moultrie,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Moultrie,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Moultrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Moultrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Moultrie,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Ogle,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Ogle,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ogle,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ogle,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Ogle,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ogle,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Ogle,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Ogle,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Ogle,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Ogle,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Ogle,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Ogle,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Ogle,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Ogle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Ogle,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Ogle,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Ogle,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Ogle,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Ogle,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Ogle,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Ogle,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Ogle,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Ogle,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ogle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Ogle,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Ogle,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Ogle,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Ogle,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Ogle,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Ogle,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Ogle,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Ogle,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ogle,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Ogle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Ogle,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Ogle,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Peoria,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Peoria,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Peoria,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Peoria,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Peoria,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Peoria,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Peoria,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Peoria,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Peoria,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Peoria,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Peoria,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Peoria,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Peoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Peoria,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Peoria,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Peoria,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Peoria,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Peoria,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Peoria,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Peoria,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Peoria,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Peoria,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Peoria,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Peoria,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Peoria,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Peoria,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Peoria,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,Peoria,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Peoria,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Peoria,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Peoria,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Peoria,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Peoria,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Peoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Peoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Peoria,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Perry,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Perry,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Perry,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Perry,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Perry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Perry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Perry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Perry,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Perry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Perry,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Perry,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Perry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Perry,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Perry,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Perry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Perry,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Perry,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Perry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Perry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Perry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Perry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Perry,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Piatt,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Piatt,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Piatt,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Piatt,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Piatt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Piatt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Piatt,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Piatt,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Piatt,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Piatt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Piatt,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Piatt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Piatt,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Piatt,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Piatt,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Piatt,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Piatt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Piatt,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Piatt,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Piatt,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Piatt,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Piatt,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Piatt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Piatt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Piatt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Piatt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Piatt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Piatt,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Piatt,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Pike,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Pike,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pike,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Pike,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pike,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Pike,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Pike,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pike,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pike,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pike,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pike,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Pike,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pike,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Pike,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pike,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pike,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pike,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pike,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Pope,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pope,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pope,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pope,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Pope,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pope,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Pope,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pope,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pope,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pope,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Pope,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Pope,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pope,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pope,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pope,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pope,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Pope,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pope,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Pope,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pope,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pope,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Pulaski,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pulaski,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pulaski,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pulaski,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Pulaski,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Pulaski,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Pulaski,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pulaski,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Pulaski,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pulaski,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Pulaski,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Pulaski,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Pulaski,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pulaski,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Pulaski,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pulaski,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Pulaski,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Putnam,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Putnam,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Putnam,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Putnam,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Putnam,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Putnam,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Putnam,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Putnam,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Putnam,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Putnam,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Putnam,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Putnam,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Putnam,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Putnam,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Putnam,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Putnam,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Putnam,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Putnam,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Putnam,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Putnam,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Putnam,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Putnam,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Putnam,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Putnam,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Putnam,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Putnam,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Randolph,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Randolph,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Randolph,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Randolph,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Randolph,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Randolph,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Randolph,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Randolph,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Randolph,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Randolph,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Randolph,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Randolph,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Richland,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Richland,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Richland,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Richland,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Richland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Richland,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Richland,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Richland,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Richland,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Richland,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Richland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Richland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Richland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Richland,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Richland,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Richland,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Richland,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Richland,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Richland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Richland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Richland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Richland,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Richland,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Rock Island,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Rock Island,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Rock Island,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Rock Island,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Rock Island,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Rock Island,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Rock Island,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Illinois,Rock Island,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Illinois,Rock Island,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Rock Island,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Rock Island,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Rock Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Rock Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Rock Island,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Rock Island,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Rock Island,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Rock Island,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Rock Island,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Rock Island,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Rock Island,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Rock Island,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Rock Island,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Rock Island,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Rock Island,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Rock Island,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Rock Island,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Rock Island,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Rock Island,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Rock Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Rock Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Rock Island,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Saline,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Saline,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Saline,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Saline,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Saline,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Saline,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Saline,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Saline,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Saline,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Saline,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Saline,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Saline,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Saline,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Saline,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Saline,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Saline,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Saline,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Saline,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Saline,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Saline,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Saline,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Saline,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Saline,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Sangamon,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Sangamon,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Sangamon,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Sangamon,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Sangamon,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Sangamon,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Sangamon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Sangamon,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Sangamon,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Sangamon,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Sangamon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Sangamon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Sangamon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Sangamon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Sangamon,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Sangamon,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Sangamon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Sangamon,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Sangamon,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Sangamon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Sangamon,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Sangamon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Sangamon,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Sangamon,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Schuyler,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Schuyler,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Schuyler,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Schuyler,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Schuyler,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Schuyler,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Schuyler,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Schuyler,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Schuyler,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Schuyler,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Schuyler,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Schuyler,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Schuyler,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Schuyler,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Schuyler,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Schuyler,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Schuyler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Schuyler,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Schuyler,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Schuyler,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Schuyler,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Schuyler,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Scott,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Scott,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Scott,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Scott,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Scott,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Scott,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Scott,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Scott,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Scott,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Scott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Scott,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Scott,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Scott,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Scott,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Scott,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Scott,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Shelby,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Shelby,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Shelby,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Shelby,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Shelby,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Shelby,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Shelby,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Shelby,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Shelby,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Shelby,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Shelby,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Shelby,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Shelby,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Shelby,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Shelby,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Shelby,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Shelby,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Shelby,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Shelby,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,St. Clair,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,St. Clair,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,St. Clair,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,St. Clair,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,St. Clair,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,St. Clair,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,St. Clair,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,St. Clair,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,St. Clair,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,St. Clair,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,St. Clair,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Illinois,St. Clair,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,St. Clair,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,St. Clair,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,St. Clair,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,St. Clair,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,St. Clair,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,St. Clair,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,St. Clair,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,St. Clair,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,St. Clair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,St. Clair,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,St. Clair,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,St. Clair,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,St. Clair,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,St. Clair,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,St. Clair,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,St. Clair,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,St. Clair,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,St. Clair,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,St. Clair,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,St. Clair,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,St. Clair,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Stark,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Stark,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stark,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stark,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Stark,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Stark,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stark,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Stark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Stark,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Stark,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Stark,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Stark,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Stark,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Stark,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stark,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Stark,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Stark,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Stark,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Stark,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Stark,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Stark,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Stark,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,Stark,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Stark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stark,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Stark,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Stephenson,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Stephenson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stephenson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stephenson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Stephenson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stephenson,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Stephenson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Stephenson,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Stephenson,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Stephenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Stephenson,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Stephenson,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Stephenson,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Stephenson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Stephenson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Stephenson,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Stephenson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Stephenson,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Stephenson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stephenson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Stephenson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Stephenson,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Stephenson,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Stephenson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Stephenson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Stephenson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Stephenson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stephenson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Stephenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Stephenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Stephenson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Tazewell,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Tazewell,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Tazewell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Tazewell,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Tazewell,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Tazewell,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Tazewell,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Tazewell,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Tazewell,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Tazewell,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Tazewell,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Tazewell,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Tazewell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Tazewell,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Tazewell,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Tazewell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Tazewell,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Tazewell,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Tazewell,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Tazewell,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,Tazewell,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Tazewell,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Tazewell,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Tazewell,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Tazewell,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Tazewell,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Tazewell,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Union,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Union,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Union,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Union,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Union,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Union,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Union,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Union,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Union,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Union,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Union,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Union,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Union,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Union,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Union,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Union,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Union,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Union,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Union,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Union,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Union,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Vermilion,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Vermilion,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Vermilion,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Vermilion,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Vermilion,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Vermilion,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Vermilion,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Vermilion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Vermilion,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Vermilion,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Vermilion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Vermilion,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Vermilion,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Vermilion,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Vermilion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Vermilion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Vermilion,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Vermilion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Vermilion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Vermilion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Vermilion,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Vermilion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Vermilion,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Vermilion,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Wabash,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Wabash,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wabash,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wabash,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wabash,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wabash,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wabash,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wabash,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wabash,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Wabash,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Wabash,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wabash,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wabash,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wabash,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Wabash,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wabash,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wabash,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Wabash,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Warren,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Warren,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Warren,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Warren,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Warren,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Warren,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Warren,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Warren,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Warren,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Warren,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Warren,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Warren,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Warren,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Warren,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Warren,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Warren,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Warren,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Warren,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Warren,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Warren,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Washington,UnitedHealthcare,Local CCP,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,026,0,,Yes,$0.00 ,$18.90 ,$0.00 ,$18.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Washington,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Washington,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Illinois,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Washington,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Washington,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Washington,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Washington,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Washington,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Washington,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Washington,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Washington,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Illinois,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Washington,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Washington,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Washington,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Washington,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Wayne,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Wayne,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wayne,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wayne,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wayne,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Wayne,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Wayne,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Wayne,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Wayne,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Wayne,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Wayne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Wayne,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Wayne,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Wayne,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Wayne,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Wayne,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Wayne,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Wayne,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,White,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,White,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,White,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,White,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,White,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,White,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,White,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,White,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,White,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,White,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,White,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,White,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,White,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,White,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,White,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,White,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,White,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,White,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,White,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,White,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,White,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,White,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,White,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Whiteside,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Whiteside,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Whiteside,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Whiteside,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Whiteside,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Whiteside,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Whiteside,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Whiteside,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Whiteside,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Whiteside,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Whiteside,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Whiteside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Whiteside,Humana,Local CCP,HumanaChoice H5525-068 (PPO),Local PPO,No,,Enhanced Alternative,H5525,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Whiteside,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Whiteside,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Whiteside,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Whiteside,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Whiteside,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Whiteside,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Whiteside,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Whiteside,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Whiteside,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Whiteside,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Whiteside,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Whiteside,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Whiteside,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Whiteside,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Whiteside,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Whiteside,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Whiteside,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Will,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Will,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Will,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Will,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,009,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Will,Wellcare,Local CCP,Wellcare Assist Compass (HMO),HMO,No,,Enhanced Alternative,H1416,023,0,,,$0.00 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,082,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Will,Humana,Local CCP,Humana Gold Plus H1468-013 (HMO),HMO,No,,Enhanced Alternative,H1468,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Will,Humana,Local CCP,Humana Community HMO Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1468,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Will,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Will,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Will,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,025,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Will,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H2802,027,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Will,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Illinois,Will,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Will,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3822,008,0,,,$60.30 ,$15.70 ,$0.00 ,$15.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Will,Zing Health,Local CCP,Zing Elite Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Humana,Local CCP,HumanaChoice H5216-013 (PPO),Local PPO,No,,Enhanced Alternative,H5216,013,0,,,$38.70 ,$61.30 ,$0.00 ,$61.30 ,$28.50 ,$0.00 ,,,,4.5,4.0,4.5
Illinois,Will,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Will,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Will,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Will,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Will,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,016,0,,,$9.70 ,$24.30 ,$0.00 ,$24.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Duly Prime (PPO),Local PPO,No,,Enhanced Alternative,H5521,314,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium Exclusive (HMO),HMO,No,,Enhanced Alternative,H5779,007,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Will,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Will,Devoted Health,Local CCP,Devoted CHOICE Illinois (PPO),Local PPO,No,,Enhanced Alternative,H6545,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Will,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Will,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Will,Devoted Health,Local CCP,Devoted CORE Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Will,Devoted Health,Local CCP,Devoted GIVEBACK Illinois (HMO),HMO,No,,Enhanced Alternative,H7151,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H7301,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,014,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Will,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Will,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Will,Zing Health,Local CCP,Zing Elite Select IL (HMO),HMO,No,,Enhanced Alternative,H7330,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Will,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H7399,001,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Illinois,Will,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Will,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Will,Blue Cross and Blue Shield of Illinois,Local CCP,Blue Cross Medicare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H8547,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,003,0,,,$24.70 ,$52.30 ,$0.00 ,$52.30 ,$19.50 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,004,0,,,$99.30 ,$35.70 ,$0.00 ,$35.70 ,$2.90 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Elite (PPO),Local PPO,No,,Enhanced Alternative,H8634,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Will,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Will,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,005,0,,,$0.50 ,$33.50 ,$0.00 ,$33.50 ,$0.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Will,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,4.0,4.0
Illinois,Will,Longevity Health,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9590,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Illinois,Will,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Williamson,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Williamson,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Williamson,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Williamson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Williamson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Williamson,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Williamson,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Williamson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Williamson,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Williamson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Williamson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,076,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Williamson,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Williamson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Williamson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Williamson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Williamson,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Williamson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Winnebago,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Winnebago,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Winnebago,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,039,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Illinois,Winnebago,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Winnebago,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Winnebago,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Winnebago,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Winnebago,Clear Spring Health,Local CCP,Clear Spring Health Community Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H3071,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Illinois,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Illinois,Winnebago,Provider Partners Health Plans,Local CCP,Provider Partners Illinois Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3800,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Winnebago,Zing Health,Local CCP,Zing Choice IL (HMO),HMO,No,,Enhanced Alternative,H4624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Winnebago,Zing Health,Local CCP,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Winnebago,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,027,0,,,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Illinois,Winnebago,Zing Health,Local CCP,Zing Elite Diabetes & Heart IL (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Winnebago,Humana,Local CCP,HumanaChoice H5216-251 (PPO),Local PPO,No,,Enhanced Alternative,H5216,251,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Humana,Local CCP,HumanaChoice H5216-283 (PPO),Local PPO,No,,Enhanced Alternative,H5216,283,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Winnebago,Humana,Local CCP,HumanaChoice H5216-357 (PPO),Local PPO,No,,Enhanced Alternative,H5216,357,0,,,$85.30 ,$52.70 ,$0.00 ,$52.70 ,$19.90 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Winnebago,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Winnebago,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Winnebago,Quartz Medicare Advantage,Local CCP,UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,026,0,,,$18.80 ,$49.20 ,$0.00 ,$49.20 ,$16.40 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Illinois,Winnebago,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H5454,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Winnebago,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5454,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Illinois,Winnebago,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Winnebago,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Winnebago,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Winnebago,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Winnebago,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Winnebago,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Premier Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,002,0,,,$4.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Value Advantra (PPO),Local PPO,No,,Enhanced Alternative,H7301,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H7301,015,0,,,$134.10 ,$34.90 ,$0.00 ,$34.90 ,$2.10 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H7301,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.0
Illinois,Winnebago,Zing Health,Local CCP,Zing Select Care IL (HMO),HMO,No,,Enhanced Alternative,H7330,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Winnebago,Zing Health,Local CCP,Zing Elite Select IL (HMO),HMO,No,,Enhanced Alternative,H7330,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,3.0,2.5
Illinois,Winnebago,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Winnebago,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H8634,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Winnebago,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Winnebago,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Illinois,Woodford,UnitedHealthcare,Local CCP,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,027,0,,Yes,$0.00 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Illinois,Woodford,Humana,Demo,Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0336,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Woodford,Blue Cross Community MMAI,Demo,Blue Medicare Advantage (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0927,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Woodford,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Enrich Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,042,0,,,$143.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Illinois,Woodford,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,Humana,Local CCP,Humana Gold Plus H1468-007 (HMO),HMO,No,,Enhanced Alternative,H1468,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Illinois,Woodford,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2506,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Woodford,Molina Healthcare of Illinois,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2715,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Illinois,Woodford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H3822,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Illinois,Woodford,Humana,Local CCP,HumanaChoice H5216-215 (PPO),Local PPO,No,,Enhanced Alternative,H5216,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,Humana,Local CCP,HumanaChoice H5216-399 (PPO),Local PPO,No,,Enhanced Alternative,H5216,399,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Illinois,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Illinois,Woodford,Humana,Local CCP,HumanaChoice H5525-004 (PPO),Local PPO,No,,Enhanced Alternative,H5525,004,0,,,$55.70 ,$44.30 ,$0.00 ,$44.30 ,$11.50 ,$300.00 ,1,,,4.0,3.5,4.0
Illinois,Woodford,Humana,Local CCP,HumanaChoice H5525-069 (PPO),Local PPO,No,,Enhanced Alternative,H5525,069,0,,,$79.90 ,$58.10 ,$0.00 ,$58.10 ,$25.30 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Illinois,Woodford,Wellcare,Local CCP,Wellcare No Premium Essential (HMO),HMO,No,,Enhanced Alternative,H5779,002,0,,,$0.00 ,($2.20),$2.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Woodford,Wellcare,Local CCP,Wellcare No Premium Essential Value (HMO),HMO,No,,Enhanced Alternative,H5779,009,0,,,$0.00 ,($6.00),$6.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Illinois,Woodford,Meridian Medicare-Medicaid Plan (MMP),Demo,Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6080,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Woodford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,001,0,,,$0.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,2.5
Illinois,Woodford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6713,002,0,,,$0.00 ,($10.30),$10.30 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Illinois,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H7301,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H7301,009,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Woodford,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H7301,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,5.0,4.0
Illinois,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H7301,017,0,,,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Illinois,Woodford,Medica,Local CCP,OSF with Medica Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8019,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Woodford,Medica,Local CCP,OSF with Medica Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Illinois,Woodford,Medica,Local CCP,OSF with Medica Advantage Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,008,0,,,$77.70 ,$39.60 ,$42.70 ,$82.30 ,$49.50 ,$200.00 ,1,,Yes,5.0,3.5,4.5
Illinois,Woodford,Molina Healthcare of Illinois,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8046,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Illinois,Woodford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Essential (PPO),Local PPO,No,,Enhanced Alternative,H8634,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Illinois,Woodford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,014,0,,,$195.30 ,$6.70 ,$0.00 ,$6.70 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Woodford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H8634,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Woodford,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H8634,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Illinois,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IL-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,003,0,,,$0.50 ,$48.50 ,$0.00 ,$48.50 ,$15.70 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Illinois,Woodford,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,086,0,Yes,Yes,,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Indiana,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,150,0,Yes,,,($20.10),$20.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Indiana,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,218,0,Yes,,,$32.20 ,$46.70 ,$78.90 ,$46.70 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Indiana,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,017,0,,,,$54.70 ,$0.00 ,$54.70 ,$12.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,018,0,,,,$56.50 ,$38.20 ,$94.70 ,$52.40 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,030,0,Yes,Yes,,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,031,0,Yes,,,$32.20 ,$67.80 ,$100.00 ,$67.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,190,0,Yes,,,$7.40 ,$2.50 ,$9.90 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,222,0,Yes,,,$52.60 ,$0.00 ,$52.60 ,$10.30 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,260,0,Yes,,,$63.10 ,$13.10 ,$76.20 ,$33.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,365,0,Yes,,,$5.00 ,$16.40 ,$21.40 ,$16.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,014,0,Yes,,,$61.70 ,$31.50 ,$93.20 ,$50.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Indiana,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,138,0,Yes,,,$56.50 ,$0.00 ,$56.50 ,$14.20 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Indiana,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,161,0,Yes,,,$80.60 ,$28.80 ,$109.40 ,$67.10 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Indiana,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,194,0,Yes,,,$33.60 ,$5.50 ,$39.10 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Indiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,360,0,Yes,,,$65.00 ,$0.00 ,$65.00 ,$22.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,396,0,Yes,,,$46.00 ,$8.20 ,$54.20 ,$11.90 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Indiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,014,0,,,,$97.10 ,$0.00 ,$97.10 ,$54.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Indiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,084,0,,,,$53.80 ,$15.70 ,$69.50 ,$27.20 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Indiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,117,0,,,,($3.00),$27.10 ,$24.10 ,$24.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Indiana,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Adams,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Adams,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Adams,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Adams,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Adams,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Adams,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Adams,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Adams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Adams,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Adams,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Adams,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Adams,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Adams,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Adams,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Adams,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Adams,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Allen,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Allen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Allen,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Allen,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Allen,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Allen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Allen,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Allen,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Allen,Zing Health,Local CCP,Zing Dual Complete Plus IN (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,016,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Allen,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Allen,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Allen,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Allen,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Allen,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Allen,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Allen,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Allen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Allen,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Allen,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Allen,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Allen,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Allen,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Allen,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Bartholomew,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Bartholomew,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Bartholomew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Bartholomew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Bartholomew,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Bartholomew,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Bartholomew,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Bartholomew,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Bartholomew,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Bartholomew,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Bartholomew,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Bartholomew,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Bartholomew,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Bartholomew,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Bartholomew,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Bartholomew,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Bartholomew,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Bartholomew,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Bartholomew,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Bartholomew,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Bartholomew,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Bartholomew,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Bartholomew,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Bartholomew,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Bartholomew,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Bartholomew,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Benton,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Benton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Benton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Benton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Benton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Benton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Benton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Benton,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Benton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Benton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Benton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Benton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Benton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Benton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Benton,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Benton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Benton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Benton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Benton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Blackford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Blackford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Blackford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Blackford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Blackford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Blackford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Blackford,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Blackford,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Blackford,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Blackford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Blackford,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Blackford,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Blackford,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Blackford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Blackford,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Blackford,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Blackford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Blackford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Blackford,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Blackford,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Blackford,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Blackford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Blackford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Blackford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Blackford,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Blackford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Blackford,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Blackford,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Blackford,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Blackford,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Blackford,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Blackford,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Blackford,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Boone,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Boone,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Boone,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Boone,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Boone,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Boone,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Boone,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Boone,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Boone,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Boone,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Boone,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Boone,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Boone,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Boone,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Boone,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Boone,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Boone,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Boone,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Boone,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Boone,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Boone,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Boone,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Boone,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Boone,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Boone,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Boone,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Boone,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Boone,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Brown,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Brown,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Brown,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Brown,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Brown,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Brown,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Brown,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Brown,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Brown,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Brown,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Brown,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Brown,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Brown,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Brown,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Brown,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Brown,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Brown,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Brown,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Brown,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Brown,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Brown,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Brown,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Brown,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Brown,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Brown,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Brown,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Brown,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Brown,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Brown,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Brown,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Carroll,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Carroll,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Carroll,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Carroll,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Carroll,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Carroll,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Carroll,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Carroll,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Carroll,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Carroll,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Carroll,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Carroll,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Carroll,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Carroll,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Carroll,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Carroll,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Carroll,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Carroll,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Carroll,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Carroll,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Carroll,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Cass,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Cass,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Cass,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Cass,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Cass,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Cass,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Cass,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Cass,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Cass,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Cass,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Cass,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Cass,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Cass,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Cass,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Cass,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Cass,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Cass,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Cass,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Cass,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Cass,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Cass,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clark,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Clark,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clark,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clark,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Clark,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clark,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Clark,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clark,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clark,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clark,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Clark,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clark,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Clark,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Clark,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Clark,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Clay,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clay,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clay,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Clay,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clay,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Clay,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clay,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clay,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Clay,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Clay,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clay,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Clay,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Clay,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clay,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clay,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clay,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Clay,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Clay,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Clinton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clinton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clinton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Clinton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clinton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Clinton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clinton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clinton,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clinton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Clinton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Clinton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Clinton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Clinton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clinton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Clinton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Clinton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Clinton,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clinton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clinton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Clinton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Clinton,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Clinton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Clinton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Crawford,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Crawford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Crawford,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Crawford,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Crawford,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Crawford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Crawford,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Crawford,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Crawford,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Crawford,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Crawford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Crawford,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Crawford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Crawford,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Crawford,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Crawford,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Crawford,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Crawford,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Crawford,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Crawford,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Daviess,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Daviess,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Daviess,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Daviess,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Daviess,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Daviess,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Daviess,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Daviess,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Daviess,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Daviess,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Daviess,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Daviess,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Daviess,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Daviess,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Daviess,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Daviess,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Daviess,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Daviess,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Daviess,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,DeKalb,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,DeKalb,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,DeKalb,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,DeKalb,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,DeKalb,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,DeKalb,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,DeKalb,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,DeKalb,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,DeKalb,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,DeKalb,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,DeKalb,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,DeKalb,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,DeKalb,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,DeKalb,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,DeKalb,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dearborn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Dearborn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Dearborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dearborn,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Dearborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Dearborn,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dearborn,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dearborn,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Dearborn,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dearborn,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Dearborn,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dearborn,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Dearborn,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Dearborn,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Dearborn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Dearborn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Dearborn,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Dearborn,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dearborn,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Dearborn,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dearborn,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dearborn,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Dearborn,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Dearborn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Dearborn,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Dearborn,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Dearborn,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Decatur,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Decatur,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Decatur,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Decatur,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Decatur,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Decatur,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Decatur,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Decatur,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Decatur,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Decatur,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Decatur,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Decatur,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Decatur,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Decatur,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Decatur,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Decatur,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Decatur,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Decatur,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Decatur,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Decatur,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Decatur,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Decatur,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Decatur,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Delaware,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Delaware,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Delaware,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Delaware,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Delaware,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Delaware,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Delaware,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Delaware,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Delaware,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Delaware,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Delaware,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Delaware,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Delaware,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Delaware,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Delaware,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Delaware,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Delaware,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Delaware,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Dubois,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Dubois,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Dubois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Dubois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Dubois,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dubois,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dubois,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Dubois,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dubois,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Dubois,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Dubois,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Dubois,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dubois,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Dubois,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Dubois,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Dubois,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Dubois,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Dubois,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Dubois,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Dubois,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Elkhart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Elkhart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Elkhart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Elkhart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Elkhart,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Elkhart,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Elkhart,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Elkhart,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Elkhart,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Elkhart,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Elkhart,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Elkhart,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Elkhart,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Elkhart,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Elkhart,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Elkhart,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Elkhart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Elkhart,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Elkhart,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fayette,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Fayette,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fayette,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fayette,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Fayette,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fayette,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Fayette,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Fayette,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fayette,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Fayette,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Fayette,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fayette,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Fayette,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Fayette,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fayette,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fayette,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fayette,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Fayette,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Fayette,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Fayette,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Floyd,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Floyd,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Floyd,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Floyd,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Floyd,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Floyd,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Floyd,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Floyd,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Floyd,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Floyd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Floyd,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Floyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Floyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Floyd,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Floyd,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Floyd,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Floyd,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fountain,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fountain,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fountain,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fountain,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fountain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Fountain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Fountain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fountain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Fountain,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Fountain,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fountain,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fountain,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Fountain,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fountain,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Fountain,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fountain,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fountain,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fountain,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fountain,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fountain,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Fountain,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Fountain,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Fountain,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fountain,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Fountain,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fountain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Fountain,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Fountain,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Fountain,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fountain,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fountain,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fountain,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Fountain,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Fountain,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Franklin,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Franklin,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Franklin,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Franklin,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Franklin,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Franklin,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Indiana,Franklin,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Franklin,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Franklin,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Franklin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Franklin,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Franklin,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Franklin,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Franklin,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Franklin,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Franklin,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Franklin,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Franklin,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Franklin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Franklin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Fulton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fulton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fulton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Fulton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fulton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Fulton,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Fulton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fulton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Fulton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Fulton,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fulton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fulton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Fulton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Fulton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Gibson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Gibson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Gibson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Gibson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Gibson,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Gibson,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Gibson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Gibson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Gibson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Gibson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Gibson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Gibson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Gibson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Gibson,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Gibson,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Gibson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Gibson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Grant,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Grant,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Grant,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Grant,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Grant,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Grant,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Grant,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Grant,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Grant,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Grant,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Grant,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Grant,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Grant,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Grant,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Greene,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Greene,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Greene,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Greene,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Greene,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Greene,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Greene,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Greene,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Greene,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Greene,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Greene,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Greene,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Greene,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Greene,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Greene,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Greene,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Greene,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Greene,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Greene,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Greene,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Greene,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Hamilton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hamilton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hamilton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Hamilton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hamilton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,1,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Indiana,Hamilton,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hamilton,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hamilton,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Hamilton,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hamilton,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hamilton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hamilton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Hamilton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hamilton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hamilton,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Hamilton,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Hamilton,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hamilton,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hamilton,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Hamilton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hamilton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hamilton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hamilton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hamilton,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hamilton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hamilton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hamilton,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Hamilton,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Hamilton,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hamilton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Hamilton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Hancock,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hancock,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hancock,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Hancock,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hancock,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Hancock,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hancock,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Hancock,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hancock,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,1,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Indiana,Hancock,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hancock,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hancock,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Hancock,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hancock,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hancock,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hancock,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Hancock,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hancock,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hancock,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Hancock,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Hancock,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hancock,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hancock,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Hancock,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hancock,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hancock,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hancock,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hancock,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hancock,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hancock,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hancock,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hancock,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Hancock,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hancock,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Hancock,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Harrison,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Harrison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Harrison,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Harrison,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Harrison,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Harrison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Harrison,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Harrison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Harrison,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Harrison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Harrison,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Harrison,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Harrison,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Harrison,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Harrison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Hendricks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Hendricks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Hendricks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Hendricks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Hendricks,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hendricks,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Hendricks,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hendricks,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hendricks,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Hendricks,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hendricks,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Hendricks,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hendricks,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Hendricks,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,1,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Indiana,Hendricks,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hendricks,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hendricks,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Hendricks,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Hendricks,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Hendricks,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Hendricks,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Hendricks,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hendricks,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Hendricks,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Hendricks,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hendricks,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Hendricks,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hendricks,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Hendricks,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hendricks,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hendricks,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hendricks,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Hendricks,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hendricks,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hendricks,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hendricks,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Hendricks,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hendricks,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hendricks,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Hendricks,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Hendricks,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Hendricks,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Hendricks,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Hendricks,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Henry,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Henry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Henry,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Henry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Henry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Henry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Henry,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Henry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Henry,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Henry,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Henry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Henry,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Henry,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Henry,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Henry,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Henry,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Henry,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Henry,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Henry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Howard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Howard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Howard,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Howard,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Howard,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Howard,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Howard,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Howard,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Howard,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Howard,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Howard,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Howard,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Howard,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Howard,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Howard,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Howard,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Howard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Howard,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Howard,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Howard,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Howard,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Howard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Howard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Howard,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Howard,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Howard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Howard,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Howard,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Howard,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Howard,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Howard,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Howard,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Howard,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Howard,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Howard,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Howard,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Huntington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Huntington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Huntington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Huntington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Huntington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Huntington,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Huntington,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Huntington,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Huntington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Huntington,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Huntington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Huntington,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Huntington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Huntington,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Huntington,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Huntington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Huntington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Huntington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Huntington,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Huntington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Huntington,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Huntington,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Huntington,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Huntington,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Jackson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jackson,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jackson,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Jackson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jackson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Jackson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jackson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jackson,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jackson,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jackson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Jackson,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jackson,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Jackson,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Jackson,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jackson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jackson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jackson,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Jackson,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Jackson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Jackson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Jasper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jasper,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jasper,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Jasper,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jasper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jasper,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jasper,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Jasper,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Jasper,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Jasper,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Jay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Jay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Jay,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jay,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jay,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Jay,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jay,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Jay,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jay,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Jay,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jay,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jay,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Jay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Jay,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Jay,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Jay,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Jay,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Jay,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jay,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jay,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jay,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Jay,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jefferson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jefferson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jefferson,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Jefferson,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jefferson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jefferson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jefferson,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Jefferson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Jefferson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Jennings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Jennings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Jennings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jennings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Jennings,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Jennings,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Jennings,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jennings,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jennings,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Jennings,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jennings,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Jennings,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Jennings,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Jennings,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Jennings,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jennings,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Jennings,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Jennings,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jennings,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Jennings,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jennings,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Jennings,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Jennings,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Jennings,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Jennings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Jennings,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jennings,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jennings,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Jennings,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Jennings,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Jennings,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Jennings,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Johnson,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Johnson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Johnson,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Johnson,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Johnson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Johnson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Johnson,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Johnson,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Johnson,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Johnson,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,1,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Indiana,Johnson,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Johnson,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Johnson,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Johnson,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Johnson,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Johnson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Johnson,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Johnson,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Johnson,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Johnson,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Johnson,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Johnson,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Johnson,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Johnson,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Johnson,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Johnson,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Johnson,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Johnson,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Johnson,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Johnson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Johnson,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Johnson,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Johnson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Johnson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Knox,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Knox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Knox,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Knox,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Knox,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Knox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Knox,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Knox,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Knox,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Knox,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Knox,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Knox,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Knox,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Knox,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Knox,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Knox,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Knox,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Knox,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Knox,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Kosciusko,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Kosciusko,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Kosciusko,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Kosciusko,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Kosciusko,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Kosciusko,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Kosciusko,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Kosciusko,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Kosciusko,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Kosciusko,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Kosciusko,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Kosciusko,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Kosciusko,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Kosciusko,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Kosciusko,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Kosciusko,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Kosciusko,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Kosciusko,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Kosciusko,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Kosciusko,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Kosciusko,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,La Porte,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,La Porte,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,La Porte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,La Porte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,La Porte,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,La Porte,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,La Porte,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,La Porte,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,La Porte,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,La Porte,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,La Porte,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,La Porte,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,La Porte,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,La Porte,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,La Porte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,La Porte,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,La Porte,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,La Porte,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,La Porte,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,La Porte,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lagrange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Lagrange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Lagrange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Lagrange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Lagrange,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Lagrange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lagrange,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lagrange,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Lagrange,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lagrange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Lagrange,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lagrange,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Lagrange,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Lagrange,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Lagrange,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Lagrange,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lagrange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Lagrange,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lagrange,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Lagrange,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lagrange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Lagrange,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Lagrange,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Lake,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Lake,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Lake,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lake,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lake,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Lake,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lake,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Lake,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Lake,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Lake,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Lake,Zing Health,Local CCP,Zing Dual Complete Plus IN (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,016,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Lake,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Lake,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Lake,Zing Health,Local CCP,Zing Elite Select IN (HMO),HMO,No,,Enhanced Alternative,H4624,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Lake,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lake,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lake,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Lake,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lake,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lake,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Lake,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Lake,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lake,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Lake,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lake,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Lake,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Lake,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Lake,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Lake,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Lawrence,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Lawrence,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Lawrence,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Lawrence,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lawrence,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Lawrence,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Lawrence,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Lawrence,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Lawrence,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Lawrence,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Lawrence,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Lawrence,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Madison,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Madison,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Madison,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Madison,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Madison,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Madison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Madison,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Madison,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Madison,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Madison,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Madison,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Madison,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Madison,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Madison,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Madison,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Madison,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Madison,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Madison,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Madison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Marion,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marion,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Marion,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Marion,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,1,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Marion,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Indiana,Marion,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,1,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Indiana,Marion,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Marion,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Marion,Zing Health,Local CCP,Zing Dual Complete Plus IN (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,016,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Marion,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Marion,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Marion,Zing Health,Local CCP,Zing Elite Select IN (HMO),HMO,No,,Enhanced Alternative,H4624,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Marion,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Marion,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Marion,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marion,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marion,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Marion,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Marion,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Marion,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Marion,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Marion,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Marion,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Marion,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Marion,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Marion,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Marion,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Marion,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Marion,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Marion,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Marion,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Marion,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Marion,American Health Advantage of Indiana,Local CCP,American Health Advantage of Indiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9690,001,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Marion,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Marion,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Marshall,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marshall,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marshall,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Marshall,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marshall,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Marshall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Marshall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Marshall,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Marshall,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Marshall,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Martin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Martin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Martin,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Martin,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Martin,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Martin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Martin,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Martin,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Martin,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Martin,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Martin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Martin,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Martin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Martin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Martin,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Martin,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Martin,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Martin,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Martin,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Martin,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Martin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Martin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Miami,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Miami,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Miami,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Miami,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Miami,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Miami,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Miami,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Miami,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Miami,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Miami,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Miami,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Miami,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Miami,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Miami,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Miami,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Miami,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Miami,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Miami,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Miami,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Miami,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Miami,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Monroe,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Monroe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Monroe,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Monroe,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Monroe,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Monroe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Monroe,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Monroe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Monroe,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Monroe,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Monroe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Monroe,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Monroe,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Monroe,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Monroe,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Monroe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Montgomery,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Montgomery,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Montgomery,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Montgomery,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Montgomery,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Montgomery,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Montgomery,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Montgomery,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Montgomery,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Montgomery,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Morgan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Morgan,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Morgan,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Morgan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Morgan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Morgan,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,HumanaChoice H5216-114 (PPO),Local PPO,No,,Enhanced Alternative,H5216,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Morgan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Morgan,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Morgan,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Morgan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Morgan,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Morgan,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Morgan,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Morgan,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Morgan,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Morgan,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Morgan,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Morgan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Morgan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Newton,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Newton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Newton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Newton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Newton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Newton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Newton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Newton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Newton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Newton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Newton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Newton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Newton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Newton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Noble,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Noble,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Noble,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Noble,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Noble,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Noble,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Noble,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Noble,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Noble,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Noble,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Noble,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Noble,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Noble,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Noble,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Noble,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Noble,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Noble,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Noble,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Noble,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ohio,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Ohio,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ohio,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ohio,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Ohio,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ohio,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Ohio,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Indiana,Ohio,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ohio,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ohio,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Ohio,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ohio,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ohio,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ohio,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ohio,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Ohio,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Ohio,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ohio,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ohio,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ohio,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Ohio,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Orange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Orange,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Orange,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Orange,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Orange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Orange,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Orange,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Orange,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Orange,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Orange,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Orange,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Orange,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Orange,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Orange,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Orange,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Orange,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Orange,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Orange,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Orange,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Orange,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Orange,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Owen,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Owen,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Owen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Owen,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Owen,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Owen,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Owen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Owen,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Owen,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Owen,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Owen,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Owen,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Owen,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Owen,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Owen,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Owen,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Owen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Owen,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Owen,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Owen,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Owen,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Owen,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Owen,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Owen,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Owen,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Owen,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Owen,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Parke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Parke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Parke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Parke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Parke,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Parke,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Parke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Parke,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Parke,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Parke,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Parke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Parke,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Parke,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Parke,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Parke,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Parke,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Parke,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Parke,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Parke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Parke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Parke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Parke,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Parke,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Parke,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Parke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Parke,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Parke,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Parke,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Parke,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Parke,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Parke,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Perry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Perry,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Perry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Perry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Perry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Perry,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Perry,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Perry,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Perry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Perry,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Perry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Perry,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Perry,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Perry,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Perry,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Perry,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Perry,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Perry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pike,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Pike,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pike,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pike,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Pike,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pike,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Pike,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pike,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Pike,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Pike,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Pike,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Pike,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Pike,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Pike,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Pike,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Porter,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Porter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Porter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Porter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Porter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Porter,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Porter,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Porter,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Porter,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Porter,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Porter,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Porter,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Porter,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Porter,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Porter,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Porter,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Porter,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Porter,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Porter,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Porter,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Porter,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Porter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Porter,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Porter,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Porter,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Porter,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Porter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Porter,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Porter,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Posey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Posey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Posey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Posey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Posey,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Posey,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Posey,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Posey,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Posey,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Posey,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Posey,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Posey,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Posey,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Posey,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Posey,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Posey,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Posey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Posey,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Posey,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Posey,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Posey,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Posey,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Pulaski,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Pulaski,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Pulaski,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Pulaski,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Putnam,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Putnam,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Putnam,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Putnam,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Putnam,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Putnam,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Putnam,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Putnam,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Putnam,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Putnam,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Putnam,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Putnam,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Putnam,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Putnam,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Putnam,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Putnam,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Putnam,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Putnam,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Putnam,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Putnam,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Randolph,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Randolph,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Randolph,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Randolph,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Randolph,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Randolph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Randolph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Randolph,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Randolph,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Randolph,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Randolph,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Randolph,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Randolph,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Randolph,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Randolph,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Randolph,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Randolph,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Randolph,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Randolph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Randolph,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Randolph,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Randolph,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Randolph,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Randolph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Randolph,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Randolph,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Randolph,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Randolph,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Randolph,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Randolph,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Randolph,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Randolph,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Randolph,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Ripley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ripley,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Ripley,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ripley,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ripley,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Ripley,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ripley,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Ripley,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Ripley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Ripley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Ripley,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Ripley,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ripley,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Ripley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ripley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Ripley,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Ripley,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Ripley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Ripley,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ripley,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ripley,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Ripley,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Ripley,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Ripley,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Rush,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Rush,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Rush,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Rush,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Rush,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Rush,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Rush,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Rush,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Rush,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Rush,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Rush,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Rush,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Rush,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Rush,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Rush,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Rush,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Rush,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Rush,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Rush,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Rush,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Rush,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Rush,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Rush,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Scott,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Scott,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Scott,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Scott,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Scott,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Scott,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Scott,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Scott,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Scott,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Scott,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Scott,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Scott,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Scott,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Scott,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Scott,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Shelby,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Shelby,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Shelby,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Shelby,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Shelby,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Shelby,Zing Health,Local CCP,Zing Select Care IN (HMO),HMO,No,,Enhanced Alternative,H4624,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Shelby,Zing Health,Local CCP,Zing Select Diabetes & Heart IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Shelby,Zing Health,Local CCP,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,024,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Indiana,Shelby,Zing Health,Local CCP,Zing ESRD Select IN (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,025,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Indiana,Shelby,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Shelby,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Shelby,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Shelby,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Shelby,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Shelby,Zing Health,Local CCP,Zing Open Choice IN (PPO),Local PPO,No,,Enhanced Alternative,H6876,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Shelby,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Shelby,Zing Health,Local CCP,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,006,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Shelby,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Shelby,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Shelby,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Kidney Care (HMO),HMO,No,,Enhanced Alternative,H7220,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Shelby,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Shelby,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Shelby,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Shelby,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Shelby,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Shelby,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Spencer,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Spencer,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Spencer,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Spencer,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Spencer,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Spencer,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Spencer,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Spencer,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Spencer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Spencer,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Spencer,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Spencer,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Spencer,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Spencer,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Spencer,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,St. Joseph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,St. Joseph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,St. Joseph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,St. Joseph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,St. Joseph,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,St. Joseph,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,St. Joseph,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,St. Joseph,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,St. Joseph,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,St. Joseph,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,St. Joseph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,St. Joseph,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,St. Joseph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,St. Joseph,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,St. Joseph,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,St. Joseph,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Starke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Starke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,056,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,086,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0019 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Starke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Starke,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Starke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Starke,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Starke,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Starke,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Starke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Starke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Starke,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Starke,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Starke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Starke,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Starke,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Starke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Starke,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Starke,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Steuben,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Steuben,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Steuben,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Steuben,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Steuben,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Steuben,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Steuben,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Steuben,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Steuben,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Steuben,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Steuben,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Steuben,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Steuben,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Steuben,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Steuben,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Steuben,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Steuben,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Sullivan,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Sullivan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Sullivan,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Sullivan,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Sullivan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Sullivan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Sullivan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Sullivan,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Sullivan,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Sullivan,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Sullivan,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Sullivan,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Sullivan,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Sullivan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Sullivan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Switzerland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Switzerland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Switzerland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Switzerland,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Switzerland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Switzerland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Switzerland,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Switzerland,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Switzerland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Switzerland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Switzerland,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Indiana,Switzerland,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Switzerland,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Switzerland,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Switzerland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Switzerland,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Switzerland,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Indiana Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5373,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Switzerland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Switzerland,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Switzerland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Switzerland,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Switzerland,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Switzerland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Switzerland,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Switzerland,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Switzerland,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Switzerland,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Switzerland,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Switzerland,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,061,0,,,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Indiana,Tippecanoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Tippecanoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tippecanoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Tippecanoe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Tippecanoe,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Tippecanoe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tippecanoe,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tippecanoe,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Tippecanoe,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tippecanoe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Tippecanoe,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tippecanoe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Tippecanoe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Tippecanoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Tippecanoe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Tippecanoe,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Tippecanoe,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tippecanoe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Tippecanoe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tippecanoe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Tippecanoe,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Tippecanoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Tippecanoe,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tippecanoe,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tippecanoe,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tippecanoe,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Tippecanoe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Tipton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Tipton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Tipton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Tipton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tipton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tipton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Tipton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tipton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Tipton,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tipton,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tipton,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Tipton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tipton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Tipton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Tipton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Tipton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Tipton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tipton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Tipton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Tipton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tipton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tipton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tipton,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Tipton,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Tipton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Tipton,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Tipton,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Tipton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Tipton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Union,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Union,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Union,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Union,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Union,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Union,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Union,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Union,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Union,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Union,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Union,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Union,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Union,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Union,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Union,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Union,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Union,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Union,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Union,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Union,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Union,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Union,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Union,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Union,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Vanderburgh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Vanderburgh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Vanderburgh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Vanderburgh,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Vanderburgh,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vanderburgh,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vanderburgh,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Vanderburgh,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vanderburgh,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Vanderburgh,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Vanderburgh,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vanderburgh,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vanderburgh,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vanderburgh,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vanderburgh,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vanderburgh,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vanderburgh,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Vanderburgh,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vanderburgh,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vanderburgh,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Vanderburgh,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Vanderburgh,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Vanderburgh,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Vanderburgh,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Vanderburgh,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vermillion,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Vermillion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Vermillion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vermillion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Vermillion,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Vermillion,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vermillion,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vermillion,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Vermillion,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vermillion,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vermillion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Vermillion,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vermillion,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Vermillion,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Vermillion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Vermillion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Vermillion,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Vermillion,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Vermillion,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vermillion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Vermillion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vermillion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vermillion,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Vermillion,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vermillion,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vermillion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Vermillion,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Vermillion,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Vermillion,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Vigo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Vigo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Vigo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Vigo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Vigo,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Vigo,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Vigo,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vigo,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vigo,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Vigo,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vigo,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Vigo,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Vigo,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Vigo,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Vigo,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Vigo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Vigo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Vigo,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Vigo,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vigo,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Vigo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vigo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Vigo,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Vigo,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vigo,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Vigo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Vigo,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,1,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Vigo,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Vigo,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Wabash,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Wabash,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Wabash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Wabash,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wabash,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wabash,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Wabash,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wabash,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Wabash,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wabash,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Wabash,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Wabash,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Wabash,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Wabash,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wabash,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Wabash,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wabash,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Wabash,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wabash,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Wabash,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Wabash,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warren,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warren,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warren,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Warren,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Warren,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warren,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warren,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warren,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Warren,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5619,160,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Warren,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Warren,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Warren,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Warren,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Warren,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Warren,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Warren,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Warren,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Warren,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Warrick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Warrick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1774,001,0,,,$0.00 ,($5.70),$5.70 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Indiana,Warrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,038,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Warrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Warrick,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Warrick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warrick,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warrick,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Warrick,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warrick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Warrick,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Warrick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Warrick,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,211,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warrick,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Warrick,MyTruAdvantage,Local CCP,MyTruAdvantage Select (HMO),HMO,No,,Enhanced Alternative,H6529,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Warrick,MyTruAdvantage,Local CCP,MyTruAdvantage Select Plus (HMO),HMO,No,,Enhanced Alternative,H6529,002,0,,,$0.00 ,($5.10),$5.10 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Indiana,Warrick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Warrick,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H7925,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Warrick,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Indiana,Warrick,MyTruAdvantage,Local CCP,MyTruAdvantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H9042,002,2,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Indiana,Warrick,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Warrick,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,057,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Washington,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Indiana,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0018 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Washington,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Washington,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Washington,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Washington,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Washington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,408,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,409,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Washington,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Washington,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Washington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Washington,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Washington,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Washington,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Washington,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wayne,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,009,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Indiana,Wayne,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wayne,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wayne,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Wayne,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wayne,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Wayne,Humana,Local CCP,HumanaChoice H5216-053 (PPO),Local PPO,No,,Enhanced Alternative,H5216,053,0,,,$1.30 ,$53.70 ,$0.00 ,$53.70 ,$11.40 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wayne,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,302,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,405,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,Wayne,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Wayne,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wayne,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Wayne,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Wayne,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Wayne,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Wayne,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,Wayne,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Wayne,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,013,0,,Yes,$0.00 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Indiana,Wells,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Wells,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Wells,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Wells,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wells,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wells,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Wells,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wells,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Wells,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Wells,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Wells,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Wells,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Wells,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Wells,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wells,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Wells,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wells,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Wells,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Wells,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Wells,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Wells,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,White,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,037,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,White,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,White,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,White,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,White,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,White,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,White,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,White,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,HumanaChoice H5216-378 (PPO),Local PPO,No,,Enhanced Alternative,H5216,378,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,White,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,White,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,223,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,White,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,226,0,,,$4.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,White,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,406,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Indiana,White,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,White,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,White,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,White,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,White,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,004,0,,,$98.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,White,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,1,,,$46.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,White,Indiana University Health Plans,Local CCP,IU Health Plans Medicare $0 Preferred (HMO),HMO,No,,Enhanced Alternative,H7220,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,White,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,White,MDwise Medicare,Local CCP,MDwise Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H7746,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,White,MDwise Medicare,Local CCP,MDwise Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H7746,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,White,MDwise Medicare,Local CCP,MDwise Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7746,003,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$6.70 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Indiana,White,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,White,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,005,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,063,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Indiana,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H1607,012,0,,,$0.00 ,$58.00 ,$0.00 ,$58.00 ,$15.70 ,$60.00 ,1,,Yes,3.5,3.0,3.5
Indiana,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H1607,015,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,035,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-001P (PPO),Local PPO,No,,Enhanced Alternative,H2406,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IN-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.5,4.0
Indiana,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Indiana,Whitley,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,020,0,,Yes,$0.00 ,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Whitley,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,024,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Whitley,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Indiana,Whitley,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,046,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Whitley,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Aligned (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,048,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H3499,002,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.0,3.0
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3499,005,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H3499,008,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Indiana,Whitley,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,HumanaChoice H5216-112 (PPO),Local PPO,No,,Enhanced Alternative,H5216,112,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,HumanaChoice H5216-192 (PPO),Local PPO,No,,Enhanced Alternative,H5216,192,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,HumanaChoice H5216-193 (PPO),Local PPO,No,,Enhanced Alternative,H5216,193,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Indiana,Whitley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,400,0,,Yes,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Indiana,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,190,0,,,$7.10 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Indiana,Whitley,Humana,Local CCP,Humana Gold Plus H5619-051 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Indiana,Whitley,Humana,Local CCP,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,054,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Whitley,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Indiana,Whitley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,156,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Whitley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,158,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,002,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H6348,006,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
Indiana,Whitley,Wellcare by Allwell,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6348,007,0,,,$15.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,3.0
Indiana,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7093,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Indiana,Whitley,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Select Plus (HMO),HMO,No,,Enhanced Alternative,H7220,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Whitley,Indiana University Health Plans,Local CCP,IU Health Plans Medicare Flex Network (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7220,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Indiana,Whitley,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Indiana,Whitley,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Iowa,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Iowa,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Iowa,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Iowa,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Iowa,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Iowa,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Iowa,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Iowa,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Iowa,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Adair,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Adair,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Adair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adair,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adair,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Adair,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Adair,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Adair,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Adair,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Adair,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Adair,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Adair,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Adair,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Adair,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adams,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Adams,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adams,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Adams,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Adams,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Adams,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Adams,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Adams,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Adams,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Adams,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Adams,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Adams,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Adams,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Adams,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Allamakee,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Allamakee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Allamakee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Allamakee,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Allamakee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Allamakee,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Allamakee,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Allamakee,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Allamakee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Allamakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Allamakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Allamakee,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Allamakee,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Allamakee,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Allamakee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Allamakee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Allamakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Allamakee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Appanoose,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Appanoose,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Appanoose,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Appanoose,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Appanoose,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Appanoose,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Appanoose,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Appanoose,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Appanoose,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Appanoose,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Appanoose,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Appanoose,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Appanoose,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Appanoose,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Appanoose,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Appanoose,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Appanoose,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Appanoose,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Appanoose,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Audubon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Audubon,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Audubon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Audubon,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Audubon,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Audubon,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Audubon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Audubon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Audubon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Audubon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Audubon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Audubon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Audubon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Audubon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Audubon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Benton,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Benton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Benton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Benton,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Benton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Benton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Benton,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Benton,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Benton,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Benton,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Benton,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Benton,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Benton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Benton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Benton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Benton,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Benton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Black Hawk,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Black Hawk,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Black Hawk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Black Hawk,UnitedHealthcare,Local CCP,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,060,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Black Hawk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Black Hawk,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Black Hawk,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Black Hawk,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Black Hawk,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Black Hawk,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Black Hawk,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Black Hawk,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Black Hawk,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Black Hawk,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Black Hawk,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Black Hawk,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Black Hawk,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Black Hawk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Black Hawk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Black Hawk,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Black Hawk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Black Hawk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Black Hawk,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Black Hawk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Black Hawk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Black Hawk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Boone,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Boone,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Boone,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Boone,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Boone,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Boone,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Boone,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Boone,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Boone,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Boone,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Boone,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Boone,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Boone,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Boone,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Boone,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Boone,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Boone,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Boone,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Boone,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Bremer,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Bremer,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Bremer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Bremer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Bremer,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Bremer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Bremer,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Bremer,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Bremer,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Bremer,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Bremer,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Bremer,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Bremer,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Bremer,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Bremer,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Bremer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Bremer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Bremer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Bremer,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Bremer,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Bremer,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Bremer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Bremer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buchanan,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Buchanan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Buchanan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Buchanan,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buchanan,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buchanan,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Buchanan,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Buchanan,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Buchanan,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Buchanan,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Buchanan,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Buchanan,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Buchanan,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Buchanan,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Buchanan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Buchanan,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Buchanan,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Buchanan,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buena Vista,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buena Vista,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Buena Vista,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Buena Vista,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Buena Vista,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buena Vista,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Buena Vista,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Buena Vista,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Buena Vista,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Buena Vista,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Buena Vista,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Buena Vista,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Buena Vista,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Buena Vista,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Buena Vista,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Buena Vista,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Buena Vista,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Buena Vista,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Buena Vista,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Butler,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Butler,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Butler,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Butler,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Butler,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Butler,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Butler,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Butler,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Butler,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Butler,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Butler,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Butler,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Butler,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Butler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Butler,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Butler,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Butler,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Butler,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Calhoun,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Calhoun,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Calhoun,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Calhoun,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Calhoun,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Calhoun,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Calhoun,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Calhoun,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Calhoun,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Calhoun,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Calhoun,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Carroll,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Carroll,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Carroll,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Carroll,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Carroll,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Carroll,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Carroll,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Carroll,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Carroll,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Carroll,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Carroll,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Cass,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cass,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Cass,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Cass,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cass,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Cass,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Cass,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cass,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cass,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Cass,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Cedar,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Cedar,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Cedar,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cedar,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cedar,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cedar,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Cedar,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Cedar,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cedar,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cedar,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Cedar,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Cedar,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cedar,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Cedar,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cedar,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Cedar,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cedar,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cedar,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Cedar,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cerro Gordo,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cerro Gordo,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Cerro Gordo,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cerro Gordo,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Cerro Gordo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cerro Gordo,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cerro Gordo,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cerro Gordo,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cerro Gordo,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Cerro Gordo,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Cerro Gordo,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cerro Gordo,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Cerro Gordo,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cerro Gordo,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Cerro Gordo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Cerro Gordo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Cerro Gordo,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cerro Gordo,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cerro Gordo,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Cerro Gordo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cerro Gordo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cherokee,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Cherokee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cherokee,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Cherokee,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Cherokee,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Cherokee,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Cherokee,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cherokee,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Cherokee,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Cherokee,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Cherokee,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cherokee,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Cherokee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Cherokee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cherokee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Cherokee,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Cherokee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Cherokee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Chickasaw,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Chickasaw,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Chickasaw,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Chickasaw,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Chickasaw,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Chickasaw,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Chickasaw,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Chickasaw,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Chickasaw,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Chickasaw,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Chickasaw,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Chickasaw,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Chickasaw,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Chickasaw,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Clarke,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clarke,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Clarke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clarke,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clarke,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Clarke,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Clarke,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clarke,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clarke,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Clarke,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Clarke,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Clarke,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clarke,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clarke,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clarke,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Clarke,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Clay,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clay,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clay,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Clay,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Clay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clayton,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Clayton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clayton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Clayton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clayton,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clayton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Clayton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Clayton,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clayton,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clayton,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Clayton,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Clayton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clayton,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Clayton,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Clayton,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Clayton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clayton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clayton,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Clayton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clayton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clinton,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Clinton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Clinton,UnitedHealthcare,Local CCP,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,060,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clinton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clinton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clinton,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Clinton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Clinton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Clinton,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clinton,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Clinton,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Clinton,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Clinton,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Clinton,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Clinton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clinton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Clinton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Crawford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Crawford,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Crawford,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Crawford,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Crawford,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Crawford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Crawford,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Crawford,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Crawford,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dallas,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Dallas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Dallas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dallas,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dallas,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dallas,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Dallas,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Dallas,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Dallas,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Dallas,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Dallas,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Dallas,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Dallas,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Dallas,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Dallas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Dallas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Dallas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Dallas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Davis,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Davis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Davis,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Davis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Davis,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Davis,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Davis,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Davis,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Davis,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Davis,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Davis,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Decatur,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Decatur,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Decatur,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Decatur,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Decatur,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Decatur,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Decatur,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Decatur,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Decatur,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Decatur,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Delaware,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Delaware,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Delaware,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Delaware,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Delaware,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Delaware,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Delaware,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Delaware,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Delaware,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Delaware,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Delaware,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Delaware,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Delaware,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Delaware,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Delaware,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Delaware,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Delaware,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Delaware,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Des Moines,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Des Moines,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Des Moines,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Des Moines,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Des Moines,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Des Moines,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Des Moines,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Des Moines,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Des Moines,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Des Moines,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Des Moines,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Des Moines,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Des Moines,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Des Moines,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Des Moines,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dickinson,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Dickinson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dickinson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dickinson,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Dickinson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Dickinson,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Dickinson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dickinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Dickinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Dickinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Dickinson,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Dickinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Dickinson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dubuque,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Dubuque,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dubuque,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Dubuque,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Dubuque,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Dubuque,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dubuque,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Dubuque,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Dubuque,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Dubuque,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Emmet,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Emmet,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Emmet,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Emmet,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Emmet,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Emmet,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Emmet,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Emmet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Emmet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Emmet,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Emmet,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Emmet,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Emmet,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Emmet,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Emmet,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Emmet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Emmet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Fayette,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Fayette,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Fayette,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fayette,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fayette,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Fayette,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Fayette,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Fayette,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Fayette,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Fayette,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Fayette,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Fayette,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Fayette,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Fayette,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Fayette,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Fayette,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Fayette,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Fayette,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Floyd,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Floyd,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Floyd,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Floyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Floyd,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Floyd,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Floyd,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Floyd,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Floyd,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Floyd,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Floyd,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Floyd,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Floyd,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Floyd,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Floyd,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Floyd,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Franklin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Franklin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Franklin,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Franklin,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Franklin,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Franklin,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Franklin,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Franklin,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Franklin,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Franklin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Franklin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Franklin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Franklin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fremont,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Fremont,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Fremont,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Fremont,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Fremont,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Fremont,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Fremont,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Fremont,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Fremont,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Fremont,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Greene,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Greene,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Greene,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Greene,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Greene,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Greene,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Greene,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Greene,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Greene,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Greene,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Greene,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Greene,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Greene,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Greene,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Grundy,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Grundy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Grundy,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Grundy,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Grundy,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Grundy,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Grundy,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Grundy,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Grundy,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Grundy,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Grundy,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Grundy,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Grundy,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Grundy,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Grundy,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Grundy,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Grundy,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Grundy,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Guthrie,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Guthrie,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Guthrie,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Guthrie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Guthrie,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Guthrie,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Guthrie,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Guthrie,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Guthrie,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Guthrie,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Guthrie,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Guthrie,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Guthrie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Guthrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Guthrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Guthrie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Guthrie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Guthrie,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Guthrie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Guthrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Guthrie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hamilton,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Hamilton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hamilton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hamilton,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hamilton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Hamilton,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Hamilton,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hamilton,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hamilton,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Hamilton,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Hamilton,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Hamilton,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Hamilton,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Hamilton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hamilton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hamilton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hamilton,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Hamilton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Hancock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hancock,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hancock,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hancock,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hancock,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hancock,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Hancock,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Hancock,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Hancock,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Hancock,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hancock,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hancock,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hancock,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hardin,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Hardin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hardin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Hardin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hardin,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Hardin,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Hardin,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Hardin,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hardin,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Hardin,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Hardin,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Hardin,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Hardin,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Hardin,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Hardin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Hardin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hardin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Hardin,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Hardin,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Harrison,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Harrison,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Harrison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Harrison,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Harrison,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Harrison,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Harrison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Harrison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Harrison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Harrison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Harrison,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Harrison,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Harrison,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Harrison,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Henry,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Henry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Henry,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Henry,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Henry,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Henry,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Henry,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Henry,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Henry,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Henry,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Henry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Henry,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Henry,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Henry,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Henry,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Howard,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Howard,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Howard,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Howard,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Howard,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Howard,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Howard,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Howard,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Howard,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Howard,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Howard,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Humboldt,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Humboldt,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Humboldt,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Humboldt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Humboldt,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Humboldt,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Humboldt,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Humboldt,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Humboldt,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Humboldt,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Humboldt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Humboldt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Humboldt,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Humboldt,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Humboldt,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Humboldt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Humboldt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ida,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Ida,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Ida,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Ida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Ida,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ida,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ida,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Ida,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Ida,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Ida,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Ida,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Ida,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Ida,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Ida,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Ida,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Ida,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Ida,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Ida,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Ida,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Ida,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Iowa,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Iowa,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Iowa,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Iowa,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Iowa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Iowa,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Iowa,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Iowa,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Iowa,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Iowa,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Iowa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Iowa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Iowa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Iowa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jackson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Jackson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jackson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jackson,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jackson,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Jackson,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Jackson,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jackson,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jackson,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Jackson,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Jackson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jackson,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jackson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jackson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jackson,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Jackson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jasper,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Jasper,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Jasper,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jasper,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jasper,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jasper,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Jasper,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Jasper,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jasper,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jasper,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Jasper,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Jasper,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jasper,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jasper,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Jasper,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jasper,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jasper,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Jasper,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Jefferson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jefferson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jefferson,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Jefferson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jefferson,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jefferson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jefferson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jefferson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Johnson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Johnson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Johnson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Johnson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Johnson,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Johnson,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Johnson,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Johnson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Johnson,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Johnson,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Johnson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Johnson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Johnson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Johnson,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Johnson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jones,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Jones,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jones,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Jones,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jones,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Jones,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Jones,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Jones,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jones,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Jones,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Jones,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Jones,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jones,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Jones,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Jones,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jones,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Jones,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Jones,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Keokuk,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Keokuk,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Keokuk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Keokuk,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Keokuk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Keokuk,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Keokuk,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Keokuk,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Keokuk,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Keokuk,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Keokuk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Keokuk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Keokuk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Keokuk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Keokuk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Keokuk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Keokuk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Kossuth,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Kossuth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Kossuth,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Kossuth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Kossuth,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Kossuth,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Kossuth,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Kossuth,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Kossuth,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Kossuth,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Kossuth,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Kossuth,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Kossuth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Kossuth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Kossuth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Kossuth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Kossuth,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Kossuth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Kossuth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Kossuth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lee,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Lee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lee,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Lee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lee,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Lee,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Lee,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Lee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Lee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lee,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lee,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Linn,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Linn,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Linn,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Linn,UnitedHealthcare,Local CCP,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,060,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Linn,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Linn,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Linn,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Linn,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Linn,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Linn,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Linn,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Linn,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Linn,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Linn,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Linn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Linn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Linn,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Linn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Louisa,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Louisa,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Louisa,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Louisa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Louisa,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Louisa,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Louisa,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Louisa,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Louisa,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Louisa,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Louisa,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Louisa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Louisa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Louisa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Louisa,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Louisa,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Louisa,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lucas,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Lucas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lucas,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Lucas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lucas,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lucas,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Lucas,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Lucas,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Lucas,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Lucas,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Lucas,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Lucas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Lucas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lucas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lucas,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Lucas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lyon,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Lyon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lyon,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Lyon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Lyon,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Lyon,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Lyon,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Lyon,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Lyon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Lyon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lyon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lyon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Lyon,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Lyon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Lyon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Lyon,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
Iowa,Lyon,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
Iowa,Madison,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Madison,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Madison,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Madison,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Madison,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Madison,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Madison,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Madison,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Madison,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Madison,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Madison,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Madison,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Madison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Madison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Madison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Madison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mahaska,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mahaska,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Mahaska,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mahaska,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Mahaska,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mahaska,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mahaska,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Mahaska,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Mahaska,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Mahaska,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Mahaska,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Mahaska,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Mahaska,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mahaska,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Mahaska,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mahaska,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Mahaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Mahaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Mahaska,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mahaska,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mahaska,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Mahaska,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Mahaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mahaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marion,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Marion,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Marion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Marion,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marion,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marion,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Marion,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Marion,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Marion,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Marion,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Marion,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Marion,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Marion,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Marion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Marion,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Marion,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Marion,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Marion,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marshall,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Marshall,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Marshall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Marshall,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Marshall,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Marshall,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Marshall,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Marshall,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Marshall,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Marshall,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Marshall,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Marshall,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Marshall,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Marshall,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mills,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mills,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Mills,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mills,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Mills,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Mills,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Mills,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mills,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Mills,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mills,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Mills,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mills,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mills,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Mills,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Mills,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Mills,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Mitchell,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mitchell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mitchell,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mitchell,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Mitchell,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Mitchell,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Mitchell,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Mitchell,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mitchell,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Mitchell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Mitchell,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mitchell,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Mitchell,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Mitchell,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monona,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Monona,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Monona,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Monona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monona,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monona,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Monona,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Monona,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Monona,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Monona,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Monona,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Monona,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Monona,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Monona,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Monona,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Monona,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Monroe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Monroe,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monroe,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Monroe,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Monroe,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Monroe,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Monroe,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Monroe,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Monroe,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Monroe,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Monroe,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Monroe,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Monroe,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Montgomery,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Montgomery,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Montgomery,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Montgomery,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Montgomery,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Montgomery,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Montgomery,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Montgomery,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Muscatine,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Muscatine,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Muscatine,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Muscatine,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Muscatine,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Muscatine,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Muscatine,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Muscatine,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Muscatine,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Muscatine,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Muscatine,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Muscatine,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Muscatine,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Muscatine,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Muscatine,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Muscatine,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Muscatine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Muscatine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Muscatine,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Muscatine,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Muscatine,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Muscatine,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Muscatine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Muscatine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,O'Brien,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,O'Brien,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,O'Brien,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,O'Brien,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,O'Brien,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,O'Brien,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,O'Brien,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,O'Brien,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,O'Brien,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,O'Brien,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,O'Brien,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,O'Brien,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,O'Brien,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,O'Brien,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
Iowa,O'Brien,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
Iowa,Osceola,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Osceola,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Osceola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Osceola,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Osceola,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Osceola,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Osceola,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Osceola,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Osceola,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Osceola,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Osceola,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Osceola,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Osceola,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Osceola,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
Iowa,Osceola,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
Iowa,Page,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Page,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Page,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Page,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Page,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Page,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Page,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Page,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Page,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Page,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Page,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Page,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Page,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Palo Alto,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Palo Alto,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Palo Alto,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Palo Alto,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Palo Alto,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Palo Alto,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Palo Alto,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Palo Alto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Palo Alto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Palo Alto,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Palo Alto,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Palo Alto,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Palo Alto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Palo Alto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Plymouth,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Plymouth,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Plymouth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Plymouth,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Plymouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Plymouth,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Plymouth,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Plymouth,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Plymouth,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Plymouth,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Plymouth,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Plymouth,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Plymouth,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Plymouth,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Plymouth,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Plymouth,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Plymouth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Plymouth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Plymouth,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Plymouth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Pocahontas,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Pocahontas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Pocahontas,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pocahontas,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Pocahontas,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Pocahontas,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Pocahontas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Pocahontas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Pocahontas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Pocahontas,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Pocahontas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Pocahontas,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Polk,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Polk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Polk,UnitedHealthcare,Local CCP,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,060,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Polk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Polk,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Polk,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Polk,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Polk,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Polk,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Polk,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Polk,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Polk,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Polk,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Polk,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Polk,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Polk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Polk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Polk,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Polk,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pottawattamie,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pottawattamie,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Pottawattamie,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Pottawattamie,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Pottawattamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Pottawattamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Pottawattamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Pottawattamie,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Pottawattamie,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Pottawattamie,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Pottawattamie,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Pottawattamie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Pottawattamie,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Pottawattamie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Pottawattamie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Pottawattamie,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Pottawattamie,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Pottawattamie,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Pottawattamie,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Iowa,Poweshiek,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Poweshiek,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Poweshiek,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Poweshiek,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Poweshiek,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Poweshiek,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Poweshiek,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Poweshiek,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Poweshiek,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Poweshiek,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Poweshiek,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Poweshiek,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Poweshiek,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Poweshiek,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Poweshiek,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Poweshiek,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Poweshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Poweshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Poweshiek,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Poweshiek,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Poweshiek,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Poweshiek,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Poweshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Poweshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ringgold,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Ringgold,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Ringgold,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ringgold,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Ringgold,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Ringgold,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Ringgold,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Ringgold,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Ringgold,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Ringgold,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Ringgold,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Ringgold,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Ringgold,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Ringgold,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Ringgold,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Ringgold,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Ringgold,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sac,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Sac,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Sac,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Sac,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sac,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Sac,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Sac,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Sac,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Sac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Sac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Sac,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Sac,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Sac,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Sac,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Sac,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Sac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Scott,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Scott,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Scott,UnitedHealthcare,Local CCP,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,060,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Scott,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Scott,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO 20 Rx (HMO),HMO,No,,Enhanced Alternative,H1463,003,0,,,$109.80 ,$15.20 ,$0.00 ,$15.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,015,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$20.20 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS 10 Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,019,0,,,$127.80 ,$37.20 ,$0.00 ,$37.20 ,$4.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare POS Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1463,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Scott,Health Alliance Medicare,Local CCP,Health Alliance Medicare Guide HMO Rx (HMO),HMO,No,,Enhanced Alternative,H1737,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Iowa,Scott,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Scott,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Scott,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Scott,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Scott,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Scott,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Scott,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Scott,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Scott,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Scott,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Scott,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Scott,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Scott,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Scott,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Scott,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Shelby,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Shelby,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Iowa,Shelby,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Shelby,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Shelby,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Shelby,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Shelby,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Shelby,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Shelby,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Sioux,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sioux,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Sioux,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Sioux,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Sioux,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Sioux,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Sioux,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Sioux,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Sioux,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Sioux,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Sioux,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Sioux,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Sioux,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Sioux,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Sioux,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Sioux,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Sioux,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Sioux,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Sioux,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Sioux,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Sioux,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Sioux,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
Iowa,Sioux,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
Iowa,Story,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Story,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Story,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Story,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Story,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Story,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Story,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Story,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Story,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Story,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Story,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Story,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Story,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Story,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Story,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Story,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Story,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Story,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Story,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Story,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Tama,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Tama,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Tama,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Tama,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Tama,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Tama,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Tama,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Tama,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Tama,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Tama,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Tama,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Tama,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Tama,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Tama,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Tama,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Tama,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Tama,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Tama,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Tama,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Tama,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Tama,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Tama,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Tama,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Tama,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Taylor,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Taylor,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Taylor,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Taylor,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Taylor,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Union,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Union,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Union,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Union,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Union,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Union,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Union,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Union,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Union,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Union,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Van Buren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Van Buren,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Van Buren,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Van Buren,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Van Buren,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Van Buren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Van Buren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Van Buren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Van Buren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Van Buren,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wapello,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wapello,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Wapello,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wapello,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wapello,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Wapello,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Wapello,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Wapello,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Wapello,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Wapello,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wapello,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wapello,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Wapello,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wapello,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wapello,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Wapello,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Wapello,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wapello,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Warren,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Warren,UnitedHealthcare,Local CCP,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,046,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Iowa,Warren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Warren,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Warren,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Warren,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Warren,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,4,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Warren,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Warren,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Warren,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Warren,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Warren,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Warren,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Warren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,3,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Warren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Warren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Warren,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Warren,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Washington,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Washington,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Washington,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Washington,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Washington,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Washington,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Washington,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Washington,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Washington,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Washington,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Washington,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Washington,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Wayne,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wayne,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wayne,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wayne,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Wayne,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Wayne,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Wayne,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Wayne,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Wayne,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wayne,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wayne,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wayne,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Webster,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Webster,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Webster,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Webster,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Webster,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Webster,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Webster,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Webster,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Webster,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Webster,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Webster,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Webster,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Webster,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Webster,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Iowa,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winnebago,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winnebago,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Winnebago,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Winnebago,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winnebago,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winnebago,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Winnebago,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Winnebago,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Winnebago,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Winnebago,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Winnebago,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Winnebago,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Winnebago,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Winnebago,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Winnebago,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Winnebago,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Winnebago,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winneshiek,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Winneshiek,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Winneshiek,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Winneshiek,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winneshiek,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Winneshiek,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Winneshiek,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Winneshiek,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Winneshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Winneshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Winneshiek,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Winneshiek,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Winneshiek,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Iowa,Winneshiek,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Winneshiek,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Winneshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Winneshiek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Woodbury,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Woodbury,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Woodbury,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Woodbury,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Woodbury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Woodbury,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Woodbury,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Woodbury,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Woodbury,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Woodbury,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Woodbury,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Woodbury,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Woodbury,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Woodbury,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Woodbury,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Woodbury,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Woodbury,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5593,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Iowa,Woodbury,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Woodbury,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Woodbury,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Woodbury,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Worth,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Worth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Worth,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Worth,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Worth,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Worth,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Worth,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Worth,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Worth,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Worth,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Worth,Humana,Local CCP,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,268,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Worth,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Worth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Worth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Worth,Iowa Health Advantage,Local CCP,Iowa Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6765,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Iowa,Worth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wright,UnitedHealthcare,Local CCP,UHC Dual Complete IA-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Iowa,Wright,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,001,0,,Yes,$0.00 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wright,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0907,002,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,068,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,4.0
Iowa,Wright,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1609,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wright,MediGold,Local CCP,MercyOne Health Plan No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Iowa,Wright,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Align (PPO),Local PPO,No,,Enhanced Alternative,H3416,001,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,5.0,4.5
Iowa,Wright,HealthPartners UnityPoint Health,Local CCP,HealthPartners UnityPoint Health Symmetry (PPO),Local PPO,No,,Enhanced Alternative,H3416,002,5,,,$1.60 ,$7.30 ,$40.10 ,$47.40 ,$40.10 ,$0.00 ,,,Yes,4.0,5.0,4.5
Iowa,Wright,MediGold,Local CCP,MercyOne Health Plan No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Wright,MediGold,Local CCP,MercyOne Health Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3668,026,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Iowa,Wright,MediGold,Local CCP,MercyOne Health Plan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H3668,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Iowa,Wright,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Iowa,Wright,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Iowa,Wright,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Iowa,Wright,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Iowa,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,107,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,108,2,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Iowa,Wright,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wright,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,002,0,,,$54.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Iowa,Wright,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage HMO (HMO),HMO,No,,Enhanced Alternative,H8095,001,0,,,$0.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Iowa,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Iowa,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC IA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,088,0,Yes,Yes,,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Kansas,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,157,0,Yes,,,($17.70),$18.20 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Kansas,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,227,0,Yes,,,$33.90 ,$45.00 ,$78.90 ,$45.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Kansas,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,048,0,Yes,Yes,,$43.50 ,$0.00 ,$43.50 ,$0.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,049,0,Yes,,,$34.60 ,$68.80 ,$103.40 ,$68.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,199,0,Yes,,,$0.90 ,$2.40 ,$3.30 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,118,0,Yes,Yes,,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,269,0,Yes,,,$62.30 ,$7.70 ,$70.00 ,$26.70 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,374,0,Yes,,,$3.10 ,$14.90 ,$18.00 ,$14.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Blue Cross and Blue Shield of Kansas or Blue KC,PDP,Blue MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5726,013,0,,,,$51.80 ,$0.00 ,$51.80 ,$8.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Kansas,(All Counties),Blue Cross and Blue Shield of Kansas or Blue KC,PDP,Blue MedicareRx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5726,014,0,,,,$36.10 ,$34.00 ,$70.10 ,$34.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Kansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,023,0,Yes,,,$77.40 ,$29.30 ,$106.70 ,$63.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Kansas,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,109,0,Yes,,,$55.90 ,$0.00 ,$55.90 ,$12.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Kansas,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,170,0,Yes,,,$76.10 ,$20.30 ,$96.40 ,$53.10 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Kansas,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,203,0,Yes,,,$33.70 ,$5.30 ,$39.00 ,$5.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Kansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,369,0,Yes,,,$61.90 ,$0.00 ,$61.90 ,$18.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,405,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$18.70 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,023,0,,,,$92.20 ,$0.00 ,$92.20 ,$48.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Kansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,093,0,,,,$55.00 ,$12.20 ,$67.20 ,$23.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Kansas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,126,0,,,,($0.30),$22.30 ,$22.00 ,$22.00 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Kansas,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Allen,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Allen,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Allen,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Allen,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Allen,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Allen,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Anderson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Anderson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Anderson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Anderson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Atchison,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Atchison,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Atchison,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Atchison,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Atchison,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Atchison,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Atchison,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Atchison,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Atchison,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Barber,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Barber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Barber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Barber,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Barber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Barber,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Barton,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Barton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Barton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Bourbon,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Bourbon,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Bourbon,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Bourbon,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Bourbon,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Bourbon,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Bourbon,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Bourbon,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Bourbon,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Brown,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Brown,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Butler,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Butler,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Butler,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Butler,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Butler,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Butler,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Butler,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Butler,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Butler,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Butler,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Butler,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Butler,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Chase,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Chase,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Chase,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Chase,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Chase,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Chase,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Chase,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Chase,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Chase,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Chase,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Chase,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Chase,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Chase,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Chase,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Chase,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Chautauqua,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Chautauqua,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Chautauqua,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Chautauqua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Chautauqua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Chautauqua,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Chautauqua,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Chautauqua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Chautauqua,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Chautauqua,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Cherokee,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Cherokee,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cherokee,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Cherokee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Cherokee,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Cherokee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Cheyenne,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Cheyenne,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Cheyenne,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Clark,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Clark,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Clay,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Clay,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Clay,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Clay,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Clay,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Cloud,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cloud,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cloud,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Cloud,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Cloud,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Cloud,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Coffey,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Coffey,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Coffey,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Coffey,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Coffey,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Coffey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Coffey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Coffey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Coffey,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Coffey,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Comanche,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Cowley,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Cowley,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Cowley,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Cowley,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Cowley,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Cowley,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Cowley,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Cowley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Cowley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Cowley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Cowley,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Cowley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Cowley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Cowley,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Crawford,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Crawford,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Crawford,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Crawford,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Crawford,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Decatur,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Decatur,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Dickinson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,055,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Dickinson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Dickinson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Dickinson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,009,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Dickinson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Dickinson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Dickinson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Dickinson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Dickinson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Dickinson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Doniphan,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Doniphan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Doniphan,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Doniphan,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Doniphan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Doniphan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Doniphan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Doniphan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Doniphan,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Doniphan,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Doniphan,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Doniphan,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Doniphan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Doniphan,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Doniphan,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Douglas,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Douglas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Douglas,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Douglas,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Douglas,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Douglas,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Douglas,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Douglas,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Douglas,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Douglas,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Douglas,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Douglas,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Douglas,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Edwards,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Edwards,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Edwards,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Edwards,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Edwards,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Edwards,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Elk,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Elk,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Elk,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Elk,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Elk,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Elk,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Ellis,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Ellis,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Ellsworth,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Ellsworth,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Ellsworth,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Ellsworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Ellsworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Ellsworth,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Ellsworth,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Ellsworth,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Ellsworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Ellsworth,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Finney,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Finney,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Finney,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Finney,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Ford,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Ford,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Franklin,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Franklin,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Franklin,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Franklin,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Franklin,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Franklin,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Franklin,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Franklin,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Franklin,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Franklin,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Geary,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Geary,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Geary,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Geary,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Geary,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Geary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Geary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Geary,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Geary,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Geary,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Geary,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Geary,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Geary,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Geary,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Geary,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Geary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Geary,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Geary,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Gove,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Gove,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Graham,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Graham,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Graham,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Grant,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Grant,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Grant,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Gray,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Gray,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Greeley,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Greenwood,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Greenwood,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Greenwood,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Greenwood,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Greenwood,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Greenwood,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Greenwood,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Hamilton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Harper,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Harper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Harper,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harper,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Harper,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Harper,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Harper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Harper,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Harvey,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Harvey,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Harvey,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Harvey,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harvey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Harvey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Harvey,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Harvey,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Harvey,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Harvey,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Harvey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Harvey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Harvey,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Harvey,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Harvey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Harvey,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Harvey,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Haskell,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Hodgeman,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jackson,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Jackson,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jackson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Jackson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jackson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jackson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jackson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Jackson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Jefferson,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Jefferson,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Jefferson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Jefferson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jefferson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jefferson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Jefferson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Jewell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Jewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Jewell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Jewell,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Jewell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Jewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Jewell,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Johnson,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Johnson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,UHC Care Advantage KS-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,062,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KS-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,063,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kansas,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Johnson,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Johnson,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Johnson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Johnson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Johnson,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kansas,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Johnson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Johnson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Kearny,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kearny,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kearny,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Kearny,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Kingman,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Kingman,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kingman,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Kingman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Kingman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Kingman,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Kingman,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Kingman,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kingman,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Kingman,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Kingman,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Kingman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Kingman,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Kingman,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Kiowa,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kiowa,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Kiowa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Labette,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Labette,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Labette,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Labette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Labette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Labette,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Labette,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Labette,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Labette,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Labette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Labette,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Labette,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Lane,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Lane,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Lane,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Leavenworth,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Leavenworth,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Leavenworth,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Leavenworth,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Leavenworth,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Leavenworth,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Leavenworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Leavenworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Leavenworth,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Leavenworth,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Leavenworth,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Leavenworth,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Leavenworth,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Leavenworth,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Leavenworth,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Leavenworth,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Leavenworth,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Leavenworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Leavenworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Leavenworth,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Leavenworth,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Leavenworth,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Lincoln,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Linn,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Linn,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Linn,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Linn,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Linn,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Linn,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Linn,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Linn,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Logan,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Logan,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Logan,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Lyon,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Lyon,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Lyon,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Lyon,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Lyon,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Lyon,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Lyon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Lyon,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Lyon,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Lyon,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Marion,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Marion,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Marion,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Marion,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Marion,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Marion,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Marion,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Marshall,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Marshall,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Marshall,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Marshall,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,McPherson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,McPherson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,McPherson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,McPherson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,McPherson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,055,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,McPherson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,McPherson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,McPherson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,McPherson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,McPherson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,McPherson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,009,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,McPherson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,McPherson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,McPherson,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,McPherson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,McPherson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,McPherson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,McPherson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Meade,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Meade,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Miami,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Miami,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Miami,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Miami,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Miami,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Miami,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Miami,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Miami,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Miami,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Miami,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Miami,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Miami,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Miami,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Miami,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Miami,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Mitchell,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Mitchell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Mitchell,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Montgomery,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Montgomery,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Montgomery,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Montgomery,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Montgomery,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Morris,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Morris,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Morris,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Morris,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Morris,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Morris,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Morton,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Morton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Nemaha,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Nemaha,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Nemaha,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Nemaha,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Nemaha,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Nemaha,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Nemaha,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Nemaha,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Neosho,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Neosho,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Neosho,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Neosho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Neosho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Neosho,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Neosho,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Neosho,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Neosho,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Neosho,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Neosho,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Neosho,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Ness,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Ness,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Norton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Norton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Norton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Osage,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Osage,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Osage,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Osage,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Osage,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Osage,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Osage,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Osage,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Osage,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Osage,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Osage,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Osage,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Osage,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Osborne,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Osborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Osborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Osborne,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Osborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Osborne,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Ottawa,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Ottawa,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Ottawa,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Ottawa,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Ottawa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Pawnee,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Pawnee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Pawnee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Phillips,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Phillips,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Phillips,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Phillips,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Phillips,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Pottawatomie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Pottawatomie,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Pottawatomie,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Pottawatomie,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Pottawatomie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Pottawatomie,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Pottawatomie,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Pottawatomie,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Pottawatomie,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Pottawatomie,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Pottawatomie,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Pottawatomie,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Pratt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Pratt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Pratt,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Pratt,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Pratt,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Pratt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Pratt,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Rawlins,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Rawlins,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Rawlins,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Reno,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Reno,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Reno,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Reno,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Reno,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Reno,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Reno,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Reno,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Reno,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Reno,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Reno,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Reno,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Reno,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Reno,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Reno,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Reno,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Republic,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Republic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Republic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Republic,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Republic,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Republic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Republic,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Rice,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Rice,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rice,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Rice,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Rice,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Riley,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Riley,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Riley,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Riley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Riley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Riley,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Riley,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Riley,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Riley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Riley,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Rooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rooks,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Rooks,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Rooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Rooks,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Rush,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Rush,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Rush,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Rush,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Russell,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Russell,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Russell,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Russell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Russell,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Saline,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Saline,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Saline,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,055,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Saline,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Saline,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,009,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Saline,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Saline,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Saline,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Scott,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Scott,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Sedgwick,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sedgwick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sedgwick,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sedgwick,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sedgwick,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sedgwick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Sedgwick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Sedgwick,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Sedgwick,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sedgwick,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Sedgwick,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sedgwick,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sedgwick,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sedgwick,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sedgwick,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Sedgwick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Sedgwick,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Sedgwick,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Seward,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Shawnee,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Shawnee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Shawnee,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Shawnee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Shawnee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Shawnee,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Shawnee,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Shawnee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Shawnee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Shawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Shawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Shawnee,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Shawnee,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Shawnee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Shawnee,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Shawnee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Shawnee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Shawnee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Shawnee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Shawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Shawnee,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Shawnee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Sheridan,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Sheridan,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Sherman,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Smith,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Kansas,Smith,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Smith,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Stafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Stafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Stafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Stafford,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Stanton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Stevens,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Stevens,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Sumner,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sumner,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Sumner,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sumner,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,035,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Sumner,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Sumner,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Sumner,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H5398,002,0,,,$0.00 ,($5.90),$5.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H5398,004,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.5,4.0,3.5
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6830,001,0,,,$0.00 ,($2.80),$2.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Sumner,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sumner,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sumner,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Sumner,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Sumner,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Sumner,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Thomas,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Kansas,Thomas,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Trego,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Trego,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Wabaunsee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Wabaunsee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus 2 (PPO),Local PPO,No,,Enhanced Alternative,H1608,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wabaunsee,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wabaunsee,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wabaunsee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wabaunsee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,054,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Wabaunsee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wabaunsee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wabaunsee,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wabaunsee,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wabaunsee,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wabaunsee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H7063,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Wabaunsee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Comprehensive (PPO),Local PPO,No,,Enhanced Alternative,H7063,007,0,,,$37.70 ,$2.30 ,$0.00 ,$2.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Wabaunsee,Blue Cross and Blue Shield of Kansas,Local CCP,Blue Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H7063,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Wabaunsee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Wabaunsee,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Wabaunsee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Wallace,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Washington,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Washington,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Wichita,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Kansas,Wichita,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wilson,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wilson,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wilson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wilson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Wilson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Woodson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,053,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Woodson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Woodson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Woodson,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Woodson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,002,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Woodson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Woodson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Woodson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Woodson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kansas,Wyandotte,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Kansas,Wyandotte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wyandotte,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wyandotte,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,004,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Kansas,Wyandotte,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KS-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,063,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kansas,Wyandotte,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kansas,Wyandotte,Kansas Health Advantage,Local CCP,Kansas Health Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,001,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wyandotte,Kansas Health Advantage,Local CCP,Kansas Health Advantage Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2392,003,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Kansas,Wyandotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wyandotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Kansas,Wyandotte,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Kansas,Wyandotte,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kansas,Wyandotte,UnitedHealthcare,Local CCP,UHC Dual Complete KS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,029,0,,Yes,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wyandotte,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kansas,Wyandotte,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Wyandotte,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Wyandotte,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6550,003,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,004,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6550,006,0,,Yes,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$450.00 ,1,,,3.0,3.0,3.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H6550,007,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6550,009,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Kansas,Wyandotte,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kansas,Wyandotte,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Kansas,Wyandotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Wyandotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9387,001,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Kansas,Wyandotte,Wellcare by Allwell,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9387,004,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Kansas,Wyandotte,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Kansas,Wyandotte,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Kentucky,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,086,0,Yes,Yes,,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Kentucky,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,150,0,Yes,,,($20.10),$20.10 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Kentucky,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,218,0,Yes,,,$32.20 ,$46.70 ,$78.90 ,$46.70 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Kentucky,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,017,0,,,,$54.70 ,$0.00 ,$54.70 ,$12.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,018,0,,,,$56.50 ,$38.20 ,$94.70 ,$52.40 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,030,0,Yes,Yes,,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,031,0,Yes,,,$32.20 ,$67.80 ,$100.00 ,$67.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,190,0,Yes,,,$7.40 ,$2.50 ,$9.90 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,222,0,Yes,,,$52.60 ,$0.00 ,$52.60 ,$10.30 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,260,0,Yes,,,$63.10 ,$13.10 ,$76.20 ,$33.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,365,0,Yes,,,$5.00 ,$16.40 ,$21.40 ,$16.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,014,0,Yes,,,$61.70 ,$31.50 ,$93.20 ,$50.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Kentucky,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,138,0,Yes,,,$56.50 ,$0.00 ,$56.50 ,$14.20 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Kentucky,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,161,0,Yes,,,$80.60 ,$28.80 ,$109.40 ,$67.10 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Kentucky,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,194,0,Yes,,,$33.60 ,$5.50 ,$39.10 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Kentucky,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,360,0,Yes,,,$65.00 ,$0.00 ,$65.00 ,$22.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,396,0,Yes,,,$46.00 ,$8.20 ,$54.20 ,$11.90 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Kentucky,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,014,0,,,,$97.10 ,$0.00 ,$97.10 ,$54.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Kentucky,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,084,0,,,,$53.80 ,$15.70 ,$69.50 ,$27.20 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Kentucky,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,117,0,,,,($3.00),$27.10 ,$24.10 ,$24.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Kentucky,Adair,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Adair,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Adair,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Adair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Adair,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Adair,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Adair,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Adair,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Adair,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Adair,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Adair,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Adair,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Adair,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Adair,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Allen,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Allen,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Allen,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Allen,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Allen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Allen,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Allen,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Allen,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Anderson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Anderson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Anderson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Anderson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Anderson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Anderson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Anderson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Anderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Anderson,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Anderson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Anderson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Anderson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Anderson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Anderson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Anderson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Anderson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ballard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Ballard,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ballard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ballard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ballard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Ballard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ballard,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Ballard,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ballard,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Ballard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ballard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ballard,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Ballard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ballard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ballard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ballard,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Ballard,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ballard,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Barren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Barren,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Barren,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Barren,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Barren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Barren,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Barren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Barren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Barren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Barren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Barren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Barren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Barren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Barren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Barren,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Barren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Barren,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Barren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Barren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Barren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Barren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Barren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Barren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Barren,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Barren,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bath,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bath,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bath,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bath,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bath,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bath,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bath,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bath,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bath,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Bath,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bath,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bell,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bell,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bell,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Bell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bell,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boone,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H0292,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus H0292-002 (HMO),HMO,No,,Enhanced Alternative,H0292,002,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus H0292-003 (HMO),HMO,No,,Enhanced Alternative,H0292,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Boone,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boone,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Boone,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Boone,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Boone,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Boone,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Boone,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Boone,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boone,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Kentucky,Boone,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boone,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boone,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Boone,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Kentucky,Boone,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,018,0,,Yes,$0.00 ,$41.80 ,$0.00 ,$41.80 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Kentucky,Boone,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boone,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Boone,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boone,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Boone,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boone,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bourbon,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bourbon,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Bourbon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Bourbon,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Bourbon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Bourbon,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bourbon,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bourbon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bourbon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bourbon,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bourbon,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Bourbon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bourbon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bourbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Bourbon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bourbon,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boyd,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Boyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Boyd,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Boyd,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyd,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Boyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Boyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyd,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Boyd,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyd,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyle,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Boyle,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Boyle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Boyle,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Boyle,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Boyle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Boyle,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Boyle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Boyle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Boyle,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyle,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Boyle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Boyle,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Boyle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Boyle,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Boyle,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Boyle,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bracken,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bracken,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bracken,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bracken,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Bracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Bracken,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Bracken,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bracken,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Bracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bracken,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Bracken,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Bracken,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bracken,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bracken,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bracken,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bracken,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bracken,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bracken,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Bracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bracken,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Bracken,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bracken,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breathitt,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Breathitt,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Breathitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breathitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breathitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breathitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Breathitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Breathitt,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breathitt,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Breathitt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breathitt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breathitt,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Breathitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breathitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breathitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Breathitt,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breathitt,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breckinridge,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Breckinridge,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breckinridge,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Breckinridge,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Breckinridge,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Breckinridge,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Breckinridge,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Breckinridge,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breckinridge,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Breckinridge,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breckinridge,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Breckinridge,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breckinridge,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Breckinridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Breckinridge,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Breckinridge,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bullitt,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bullitt,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bullitt,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bullitt,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Bullitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Bullitt,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Bullitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bullitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bullitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Bullitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Bullitt,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Bullitt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Bullitt,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bullitt,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Bullitt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bullitt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Bullitt,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Bullitt,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Bullitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bullitt,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bullitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Bullitt,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Bullitt,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Butler,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Butler,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Butler,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Butler,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Butler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Butler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Butler,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Butler,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Butler,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Butler,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Butler,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Butler,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Caldwell,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Caldwell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Caldwell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Caldwell,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Calloway,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Calloway,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Calloway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Calloway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Calloway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Calloway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Calloway,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Calloway,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Calloway,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Calloway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Calloway,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Calloway,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Calloway,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H0292,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus H0292-002 (HMO),HMO,No,,Enhanced Alternative,H0292,002,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus H0292-003 (HMO),HMO,No,,Enhanced Alternative,H0292,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Campbell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Campbell,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Campbell,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Campbell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Campbell,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Campbell,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Campbell,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Campbell,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Kentucky,Campbell,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Campbell,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Campbell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Campbell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Kentucky,Campbell,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,018,0,,Yes,$0.00 ,$41.80 ,$0.00 ,$41.80 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Kentucky,Campbell,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Campbell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Campbell,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Campbell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Campbell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Campbell,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carlisle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carlisle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carlisle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carlisle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Carlisle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Carlisle,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carlisle,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Carlisle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carlisle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carlisle,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Carlisle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carlisle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carlisle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Carlisle,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carlisle,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carroll,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Carroll,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Carroll,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Carroll,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Carroll,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carroll,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Carroll,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carroll,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Carroll,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carroll,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Carroll,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carroll,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carter,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Carter,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carter,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Carter,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Carter,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Carter,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Carter,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Carter,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Carter,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carter,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Carter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Carter,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Carter,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Carter,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Carter,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Casey,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Casey,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Casey,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Casey,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Casey,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Casey,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Casey,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Casey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Casey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Casey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Casey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Casey,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Casey,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Casey,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Casey,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Casey,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Casey,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Casey,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Casey,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Casey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Casey,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Casey,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Casey,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Christian,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Christian,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Christian,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Christian,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Christian,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Christian,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Christian,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Christian,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Christian,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Christian,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Clark,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clark,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Clark,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Clark,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Clark,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Clark,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Clark,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clark,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Clark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clark,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clark,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Clark,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clark,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Clark,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clark,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clay,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clay,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clay,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Clay,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clay,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Clinton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clinton,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Clinton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Clinton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Clinton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Clinton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Crittenden,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Crittenden,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Crittenden,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Crittenden,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Crittenden,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Crittenden,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Crittenden,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Crittenden,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Crittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Crittenden,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Crittenden,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Cumberland,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Cumberland,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Cumberland,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Cumberland,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Cumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Cumberland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Cumberland,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Daviess,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Daviess,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Daviess,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Daviess,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Daviess,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Daviess,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Daviess,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Daviess,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Edmonson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Edmonson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Edmonson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Edmonson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Edmonson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Edmonson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Edmonson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Edmonson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Edmonson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Edmonson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Edmonson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Edmonson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Edmonson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Edmonson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Edmonson,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Edmonson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Edmonson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Edmonson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Edmonson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Edmonson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Edmonson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Edmonson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Elliott,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Elliott,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Elliott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Elliott,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Elliott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Elliott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Elliott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Elliott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Elliott,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Elliott,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Elliott,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Elliott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Elliott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Elliott,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Elliott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Elliott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Elliott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Elliott,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Elliott,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Elliott,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Estill,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Estill,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Estill,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Estill,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Estill,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Estill,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Estill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Estill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Estill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Estill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Estill,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Estill,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Estill,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Estill,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Estill,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Estill,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Estill,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Estill,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Estill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Estill,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Estill,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Estill,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fayette,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Fayette,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Fayette,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Fayette,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Fayette,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Fayette,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Fayette,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fayette,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H5178,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fayette,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fayette,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Fayette,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fayette,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Fayette,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fayette,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fleming,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Fleming,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Fleming,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fleming,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fleming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fleming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fleming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Fleming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fleming,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Fleming,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fleming,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Fleming,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fleming,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fleming,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Fleming,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fleming,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fleming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fleming,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Fleming,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fleming,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Floyd,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Floyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Floyd,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Floyd,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Floyd,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Floyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Floyd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Floyd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Floyd,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Floyd,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Floyd,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Franklin,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Franklin,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Franklin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Franklin,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Franklin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Franklin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Franklin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Fulton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Fulton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fulton,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Fulton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Fulton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Fulton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Fulton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Gallatin,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Gallatin,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Gallatin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Gallatin,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Gallatin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Gallatin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Gallatin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Gallatin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Gallatin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Gallatin,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Gallatin,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Gallatin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Gallatin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Gallatin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Gallatin,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Gallatin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Gallatin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Gallatin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Gallatin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Gallatin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Garrard,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Garrard,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Garrard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Garrard,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Garrard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Garrard,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Garrard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Garrard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Garrard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Garrard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Garrard,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Garrard,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Garrard,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Garrard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Garrard,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Garrard,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Garrard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Garrard,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Garrard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Garrard,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Garrard,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Garrard,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grant,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H0292,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus H0292-002 (HMO),HMO,No,,Enhanced Alternative,H0292,002,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus H0292-003 (HMO),HMO,No,,Enhanced Alternative,H0292,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Grant,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Grant,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Grant,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Grant,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Grant,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Grant,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Grant,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Grant,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Grant,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grant,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Grant,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Grant,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grant,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Grant,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Grant,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Grant,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,018,0,,Yes,$0.00 ,$41.80 ,$0.00 ,$41.80 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Kentucky,Grant,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grant,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grant,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Grant,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grant,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Graves,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Graves,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Graves,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Graves,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Graves,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Graves,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Graves,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Graves,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Graves,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Graves,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Graves,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Graves,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Graves,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Graves,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Grayson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Grayson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Grayson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Grayson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Grayson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Grayson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Grayson,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Grayson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Grayson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Grayson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Grayson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Grayson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grayson,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Grayson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Grayson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Grayson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Green,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Green,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Green,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Green,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Green,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Green,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Green,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Green,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Green,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Green,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Green,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Green,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Green,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Green,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Green,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Green,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Green,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Green,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Greenup,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Greenup,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Greenup,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Greenup,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Greenup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Greenup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Greenup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Greenup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Greenup,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Greenup,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Greenup,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Greenup,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Greenup,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Greenup,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Greenup,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Greenup,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Greenup,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Greenup,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Greenup,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Greenup,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Greenup,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Greenup,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hancock,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hancock,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hancock,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Hancock,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hancock,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hancock,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hancock,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Hancock,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hancock,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hardin,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hardin,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Hardin,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Hardin,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Hardin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hardin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Hardin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Hardin,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hardin,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hardin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hardin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Hardin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hardin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harlan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Harlan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harlan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harlan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harlan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Harlan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harlan,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Harlan,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harlan,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Harlan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harlan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harlan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Harlan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harlan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harlan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harlan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Harlan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harlan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harrison,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Harrison,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Harrison,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Harrison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Harrison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Harrison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Harrison,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harrison,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Harrison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Harrison,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Harrison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Harrison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Harrison,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hart,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hart,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hart,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hart,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Hart,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Hart,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hart,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hart,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Hart,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hart,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hart,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hart,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Hart,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hart,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henderson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Henderson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henderson,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henderson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Henderson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Henderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Henderson,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,Humana Gold Plus H5619-049 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,Humana Gold Plus H5619-053 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$495.00 ,1,,,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henderson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Henderson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henderson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Henry,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henry,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Henry,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Henry,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Henry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Henry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henry,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Henry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Henry,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Henry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Henry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Henry,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hickman,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hickman,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hickman,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Hickman,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hickman,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hickman,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hickman,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hickman,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hickman,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hickman,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hickman,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Hickman,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hickman,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hopkins,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hopkins,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Hopkins,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Hopkins,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Hopkins,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Hopkins,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Hopkins,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jackson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jackson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Jackson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Jackson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jackson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jackson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Jackson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jackson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Jefferson,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Jefferson,Humana,Local CCP,Humana Community HMO Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Kentucky,Jefferson,Humana,Local CCP,Humana Community HMO SNP-DE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,235,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Kentucky,Jefferson,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H1036,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Kentucky,Jefferson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jefferson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Jefferson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Jefferson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Jefferson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,017,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Jefferson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jefferson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jessamine,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Jessamine,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jessamine,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jessamine,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Jessamine,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Jessamine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jessamine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jessamine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Jessamine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Jessamine,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Jessamine,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Jessamine,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jessamine,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Jessamine,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jessamine,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Jessamine,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Jessamine,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jessamine,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jessamine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Jessamine,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Jessamine,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Johnson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Johnson,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Johnson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Johnson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Johnson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Johnson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Johnson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H0292,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus H0292-002 (HMO),HMO,No,,Enhanced Alternative,H0292,002,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus H0292-003 (HMO),HMO,No,,Enhanced Alternative,H0292,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Kenton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Kenton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Kenton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Kenton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Kenton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Kenton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,064,0,,Yes,$0.00 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Kentucky,Kenton,UnitedHealthcare,Local CCP,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,071,0,,,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Kentucky,Kenton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Kenton,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Kenton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Kenton,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Kentucky,Kenton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Kenton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Kenton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Kenton,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Kenton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Kenton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Kentucky,Kenton,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Kenton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Kenton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,018,0,,Yes,$0.00 ,$41.80 ,$0.00 ,$41.80 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Kentucky,Kenton,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Kenton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Kenton,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Kenton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Kenton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Kenton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Kenton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knott,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Knott,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Knott,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Knott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knott,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Knott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Knott,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Knott,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knott,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Knott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knott,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Knott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knott,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Knott,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knott,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Knox,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Knox,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Knox,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knox,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Knox,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Knox,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Knox,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Knox,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Larue,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Larue,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Larue,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Larue,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Larue,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Larue,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Larue,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Larue,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Larue,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Larue,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Larue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Larue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Larue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Larue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Larue,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Larue,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Larue,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Larue,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Larue,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Larue,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Larue,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Larue,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Larue,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Larue,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Larue,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Larue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Larue,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Larue,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Larue,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Laurel,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Laurel,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Laurel,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Laurel,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Laurel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Laurel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Laurel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Laurel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Laurel,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Laurel,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Laurel,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Laurel,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Laurel,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Laurel,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Laurel,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Laurel,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Laurel,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Laurel,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Laurel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Laurel,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Laurel,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Laurel,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lawrence,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lawrence,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lawrence,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lawrence,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Lawrence,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lawrence,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lee,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lee,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Lee,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Lee,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Lee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lee,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lee,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Lee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lee,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Leslie,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Leslie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Leslie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Leslie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Leslie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Leslie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Leslie,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Leslie,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Leslie,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Leslie,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Leslie,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Leslie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Leslie,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Leslie,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Leslie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Leslie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Leslie,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Leslie,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Letcher,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Letcher,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Letcher,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Letcher,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Letcher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Letcher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Letcher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Letcher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Letcher,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Letcher,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Letcher,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Letcher,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Letcher,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Letcher,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Letcher,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Letcher,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Letcher,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Letcher,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Letcher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Letcher,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Letcher,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Letcher,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lewis,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lewis,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lewis,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Lewis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Lewis,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lewis,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lewis,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lewis,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lewis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Lewis,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lewis,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lincoln,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lincoln,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Lincoln,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lincoln,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lincoln,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Lincoln,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lincoln,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Livingston,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Livingston,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Livingston,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Livingston,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Livingston,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Livingston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Livingston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Livingston,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Logan,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Logan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Logan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Logan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Logan,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Logan,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Logan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Logan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Logan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Logan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Lyon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Lyon,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lyon,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lyon,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Lyon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lyon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Lyon,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lyon,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Lyon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Lyon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Lyon,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Madison,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Madison,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Madison,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Madison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Madison,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Madison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Madison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Madison,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Magoffin,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Magoffin,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Magoffin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Magoffin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Magoffin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Magoffin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Magoffin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Magoffin,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Magoffin,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Magoffin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Magoffin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Magoffin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Magoffin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Magoffin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Magoffin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Magoffin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Magoffin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marion,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Marion,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Marion,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Marion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Marion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marion,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marion,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Marion,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marion,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Marshall,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Marshall,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marshall,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Kentucky,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Marshall,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Marshall,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Marshall,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Martin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Martin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Martin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Martin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Martin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Martin,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Martin,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Martin,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Martin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Martin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Martin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Martin,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mason,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Mason,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Mason,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mason,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Mason,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Mason,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Mason,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mason,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Mason,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mason,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mason,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mason,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Mason,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mason,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCracken,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McCracken,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McCracken,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,McCracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCracken,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,McCracken,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,McCracken,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McCracken,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCracken,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McCracken,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCracken,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCracken,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McCracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCracken,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCracken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCracken,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,McCracken,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCracken,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCreary,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McCreary,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCreary,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,McCreary,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,McCreary,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McCreary,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McCreary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCreary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCreary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,McCreary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McCreary,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,McCreary,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,McCreary,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McCreary,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCreary,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McCreary,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCreary,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McCreary,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McCreary,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCreary,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCreary,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McCreary,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,McCreary,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McCreary,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McLean,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McLean,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McLean,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,McLean,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,McLean,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,McLean,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,McLean,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,McLean,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,McLean,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,McLean,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,McLean,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McLean,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McLean,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,McLean,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McLean,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,McLean,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,McLean,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McLean,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,McLean,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,McLean,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,McLean,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Meade,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Meade,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Meade,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Meade,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Meade,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Meade,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Meade,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Meade,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Meade,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Meade,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Meade,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Meade,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Meade,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Meade,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Meade,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Meade,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Meade,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Meade,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Meade,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Meade,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Meade,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Meade,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Meade,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Menifee,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Menifee,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Menifee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Menifee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Menifee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Menifee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Menifee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Menifee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Menifee,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Menifee,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Menifee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Menifee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Menifee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Menifee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Menifee,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Menifee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Menifee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Menifee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Menifee,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mercer,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Mercer,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Mercer,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Mercer,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Mercer,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Mercer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Mercer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Mercer,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Mercer,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Mercer,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Mercer,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Mercer,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Metcalfe,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Metcalfe,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Metcalfe,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Metcalfe,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Metcalfe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Metcalfe,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Metcalfe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Metcalfe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Metcalfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Metcalfe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Metcalfe,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Monroe,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Monroe,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Monroe,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Monroe,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Monroe,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Monroe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Monroe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Monroe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Monroe,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Montgomery,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Montgomery,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Montgomery,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Montgomery,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Morgan,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Morgan,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Morgan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Morgan,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Morgan,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Morgan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Morgan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Morgan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Morgan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Muhlenberg,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Muhlenberg,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Muhlenberg,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Muhlenberg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Muhlenberg,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Muhlenberg,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Muhlenberg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Muhlenberg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Muhlenberg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Muhlenberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Muhlenberg,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Muhlenberg,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nelson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Nelson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Nelson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Nelson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Nelson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Nelson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Nelson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Nelson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Nelson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nelson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Nelson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nelson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nelson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Nelson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nelson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Nelson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nelson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nicholas,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Nicholas,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Nicholas,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Nicholas,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nicholas,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Nicholas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nicholas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Nicholas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Nicholas,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nicholas,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Nicholas,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Nicholas,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ohio,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Ohio,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Ohio,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Ohio,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Ohio,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Ohio,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Ohio,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Ohio,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ohio,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Ohio,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ohio,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Ohio,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Ohio,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Ohio,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Ohio,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Oldham,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Oldham,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Oldham,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Oldham,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Oldham,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Oldham,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Oldham,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Oldham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Oldham,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Oldham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Oldham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Oldham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Oldham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Oldham,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Oldham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Oldham,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Oldham,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Oldham,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Oldham,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Oldham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Oldham,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Oldham,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Oldham,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Oldham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Oldham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Oldham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Oldham,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owen,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Owen,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Owen,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Owen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Owen,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owen,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Owen,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owen,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Owen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owen,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Owen,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owen,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owen,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Owen,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owen,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owsley,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Owsley,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Owsley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Owsley,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Owsley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owsley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owsley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Owsley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Owsley,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Owsley,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owsley,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Owsley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owsley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Owsley,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Owsley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owsley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owsley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Owsley,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Owsley,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Owsley,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,Humana Community (HMO),HMO,No,,Enhanced Alternative,H0292,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus H0292-002 (HMO),HMO,No,,Enhanced Alternative,H0292,002,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus H0292-003 (HMO),HMO,No,,Enhanced Alternative,H0292,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,5.0
Kentucky,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pendleton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Pendleton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Pendleton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Pendleton,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Pendleton,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Pendleton,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pendleton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pendleton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pendleton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Pendleton,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Pendleton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pendleton,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,018,0,,Yes,$0.00 ,$41.80 ,$0.00 ,$41.80 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Kentucky,Pendleton,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pendleton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Kentucky,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Pendleton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pendleton,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Perry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Perry,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Perry,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Perry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Perry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Perry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Perry,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H0628,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Pike,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pike,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Pike,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Pike,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pike,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pike,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pike,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Pike,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pike,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Powell,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Powell,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Powell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Powell,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Powell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Powell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Powell,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Powell,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Powell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Powell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Powell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Powell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Powell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Powell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Powell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Powell,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pulaski,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Pulaski,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Pulaski,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Pulaski,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Pulaski,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Pulaski,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Pulaski,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Robertson,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Robertson,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Robertson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Robertson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Robertson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,085,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Robertson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Robertson,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Robertson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Robertson,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Robertson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Robertson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Robertson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Robertson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Robertson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Robertson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Robertson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rockcastle,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Rockcastle,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Rockcastle,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Rockcastle,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Rockcastle,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rockcastle,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Rockcastle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rockcastle,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rockcastle,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rockcastle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Rockcastle,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rockcastle,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rowan,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Rowan,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Rowan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Rowan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Rowan,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Rowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rowan,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Rowan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rowan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Rowan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Rowan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Rowan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Rowan,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Russell,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Russell,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Russell,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Russell,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Russell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Russell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Russell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Russell,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Russell,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Russell,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Russell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Russell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Russell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Russell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Russell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Russell,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Scott,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Scott,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Scott,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Scott,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Scott,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Scott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Scott,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Scott,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Scott,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Scott,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Scott,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Scott,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Scott,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Shelby,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Shelby,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Shelby,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Shelby,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Shelby,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Shelby,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Shelby,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Shelby,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Shelby,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Shelby,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Shelby,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Shelby,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Shelby,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Simpson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Simpson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Simpson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Simpson,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Simpson,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Simpson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Simpson,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Simpson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Simpson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Simpson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Simpson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Simpson,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Spencer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Spencer,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Spencer,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Spencer,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Spencer,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Spencer,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Spencer,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Spencer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Spencer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Spencer,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Spencer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Spencer,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Spencer,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Spencer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Spencer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Spencer,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Spencer,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Spencer,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Spencer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Spencer,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Spencer,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Spencer,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Taylor,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Taylor,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Taylor,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Taylor,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Taylor,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Taylor,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Taylor,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Taylor,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Taylor,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Taylor,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Taylor,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Taylor,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Todd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Todd,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Todd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Todd,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Todd,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Todd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Todd,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Todd,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Todd,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Todd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Todd,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Todd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Todd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Todd,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Todd,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Todd,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Todd,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trigg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Trigg,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trigg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trigg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trigg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Trigg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trigg,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Trigg,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trigg,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Trigg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trigg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trigg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Trigg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trigg,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trigg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trigg,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Trigg,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trigg,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trimble,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Trimble,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trimble,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Trimble,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Trimble,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Trimble,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Trimble,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Trimble,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Trimble,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Trimble,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Trimble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trimble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trimble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Trimble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Trimble,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,259,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Trimble,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Trimble,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Trimble,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trimble,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Trimble,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trimble,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Trimble,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Trimble,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Trimble,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trimble,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trimble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Trimble,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Trimble,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Trimble,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Union,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Union,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Union,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Union,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Union,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Union,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Union,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Union,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Union,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Union,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Union,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Union,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Union,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Union,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Union,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Warren,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Warren,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Community (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Warren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Warren,Humana,Local CCP,Humana Gold Plus H5619-128 (HMO),HMO,No,,Enhanced Alternative,H5619,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Warren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Warren,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Warren,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Washington,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Washington,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Washington,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Kentucky,Washington,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Washington,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Washington,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Washington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Washington,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Washington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Washington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Washington,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wayne,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Wayne,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Wayne,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wayne,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wayne,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wayne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Wayne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wayne,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Webster,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Webster,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Webster,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-229 (PPO),Local PPO,No,,Enhanced Alternative,H5216,229,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Webster,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Webster,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Webster,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Webster,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Webster,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Webster,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Webster,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Whitley,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Whitley,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Whitley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Whitley,Humana,Local CCP,HumanaChoice H5525-008 (PPO),Local PPO,No,,Enhanced Alternative,H5525,008,0,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$8.70 ,$220.00 ,1,,,4.0,3.5,4.0
Kentucky,Whitley,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Whitley,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Whitley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Whitley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Whitley,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Whitley,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Whitley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Whitley,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Whitley,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Whitley,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wolfe,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Wolfe,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Wolfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Wolfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wolfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wolfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Wolfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice H5525-044 (PPO),Local PPO,No,,Enhanced Alternative,H5525,044,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Wolfe,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wolfe,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Wolfe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wolfe,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Wolfe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Wolfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wolfe,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wolfe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Wolfe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Wolfe,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Woodford,Passport Advantage,Local CCP,Passport Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1799,001,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Woodford,Passport Advantage,Local CCP,Passport Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H1799,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
Kentucky,Woodford,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,008,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Kentucky,Woodford,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Kentucky,Woodford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3975,001,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H3975,004,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,034,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$1.70 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4036,035,0,,,$4.20 ,$23.80 ,$0.00 ,$23.80 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-107 (PPO),Local PPO,No,,Enhanced Alternative,H5216,107,0,,,$64.10 ,$58.90 ,$0.00 ,$58.90 ,$16.60 ,$200.00 ,1,,,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-188 (PPO),Local PPO,No,,Enhanced Alternative,H5216,188,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-226 (PPO),Local PPO,No,,Enhanced Alternative,H5216,226,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-317 (PPO),Local PPO,No,,Enhanced Alternative,H5216,317,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-322 (PPO),Local PPO,No,,Enhanced Alternative,H5216,322,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,HumanaChoice H5216-324 (PPO),Local PPO,No,,Enhanced Alternative,H5216,324,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$9.40 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Kentucky,Woodford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Kentucky,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,100,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,127,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Kentucky,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,128,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Kentucky,Woodford,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,156,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Kentucky,Woodford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,442,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Kentucky,Woodford,Humana,Local CCP,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,045,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Woodford,Humana,Local CCP,Humana Gold Plus H5619-071 (HMO),HMO,No,,Enhanced Alternative,H5619,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Kentucky,Woodford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,075,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Woodford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,163,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Kentucky,Woodford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,164,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Kentucky,Woodford,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Kentucky,Woodford,UnitedHealthcare,Local CCP,UHC Dual Complete KY-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,003,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Woodford,UnitedHealthcare,Local CCP,UHC Dual Complete KY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6595,004,0,,Yes,$0.00 ,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Woodford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KY-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,007,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9525,011,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,016,0,,Yes,$0.00 ,$29.60 ,$0.00 ,$29.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Kentucky,Woodford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,003,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,004,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9730,005,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9730,007,0,,,$0.00 ,($10.80),$10.80 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9730,009,0,,,$0.00 ,($9.80),$9.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9730,010,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$205.00 ,1,,,3.5,3.5,3.5
Kentucky,Woodford,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9730,011,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Kentucky,Woodford,Humana,Regional CCP,HumanaChoice R0865-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0865,003,0,,,$5.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$245.00 ,1,,Yes,4.5,3.5,4.0
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4487,001,0,,,$26.30 ,$46.70 ,$0.00 ,$46.70 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Louisiana,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,012,0,Yes,Yes,,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Louisiana,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,133,0,Yes,,,($14.00),$16.90 ,$2.90 ,$2.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Louisiana,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,224,0,Yes,,,$33.90 ,$46.50 ,$80.40 ,$46.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Louisiana,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,042,0,Yes,,,$52.10 ,$0.00 ,$52.10 ,$5.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,108,0,Yes,,,$66.40 ,$51.10 ,$117.50 ,$71.30 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,196,0,Yes,,,$11.90 ,$2.00 ,$13.90 ,$2.00 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,103,0,Yes,Yes,,$42.30 ,$0.00 ,$42.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,266,0,Yes,,,$83.30 ,$8.40 ,$91.70 ,$45.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,371,0,Yes,,,$7.20 ,$16.90 ,$24.10 ,$16.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,020,0,Yes,,,$87.10 ,$28.10 ,$115.20 ,$69.00 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Louisiana,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,108,0,Yes,Yes,,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Louisiana,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,167,0,Yes,,,$78.00 ,$21.40 ,$99.40 ,$53.20 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Louisiana,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,200,0,Yes,,,$39.90 ,$6.60 ,$46.50 ,$6.60 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Louisiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,366,0,Yes,Yes,,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,402,0,Yes,,,$48.40 ,$6.80 ,$55.20 ,$9.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Louisiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,020,0,,Yes,,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Louisiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,090,0,,,,$67.40 ,$9.70 ,$77.10 ,$30.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Louisiana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,123,0,,,,$0.90 ,$23.70 ,$24.60 ,$23.70 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Acadia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Acadia,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Acadia,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Acadia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Acadia,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Acadia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Acadia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Acadia,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Acadia,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Acadia,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Acadia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Acadia,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Acadia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Acadia,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Acadia,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Acadia,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Acadia,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Acadia,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Acadia,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Allen,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Allen,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Allen,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Allen,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Allen,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Allen,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Allen,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Allen,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Allen,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Allen,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Ascension,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ascension,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ascension,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Humana,Local CCP,Humana FMOL Baton Rouge H1951-053 (HMO),HMO,No,,Enhanced Alternative,H1951,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Humana,Local CCP,Humana BR Clinic-BR Gen H1951-055 (HMO),HMO,No,,Enhanced Alternative,H1951,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ascension,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Ascension,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Ascension,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Ascension,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Ascension,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Ascension,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Ascension,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ascension,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ascension,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ascension,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Ascension,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Ascension,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Ascension,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Ascension,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Ascension,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Assumption,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Assumption,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Assumption,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Assumption,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Assumption,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Assumption,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Assumption,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Assumption,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Assumption,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Assumption,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Assumption,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Assumption,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Assumption,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Assumption,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Assumption,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Assumption,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Assumption,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Assumption,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Avoyelles,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Avoyelles,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Avoyelles,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Avoyelles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Avoyelles,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Avoyelles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Avoyelles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Avoyelles,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Avoyelles,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Avoyelles,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Avoyelles,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Avoyelles,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Avoyelles,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Avoyelles,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Avoyelles,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Avoyelles,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Beauregard,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Beauregard,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Beauregard,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Beauregard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Beauregard,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Beauregard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Beauregard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Beauregard,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Beauregard,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Beauregard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Beauregard,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Beauregard,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Beauregard,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Beauregard,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Beauregard,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Beauregard,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Bienville,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bienville,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bienville,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bienville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bienville,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Bienville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bienville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bienville,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Bienville,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bienville,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Bienville,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Bienville,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bienville,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Bienville,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bienville,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Bienville,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Bossier,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bossier,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bossier,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bossier,Humana,Local CCP,Humana Gold Plus H1951-013 (HMO),HMO,No,,Enhanced Alternative,H1951,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Bossier,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bossier,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bossier,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Bossier,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Bossier,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Bossier,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Bossier,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Bossier,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Bossier,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Bossier,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Bossier,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Bossier,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Bossier,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Caddo,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caddo,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caddo,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caddo,Humana,Local CCP,Humana Gold Plus H1951-013 (HMO),HMO,No,,Enhanced Alternative,H1951,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Caddo,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caddo,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caddo,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caddo,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Caddo,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Caddo,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Caddo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Caddo,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Caddo,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caddo,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caddo,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Caddo,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Calcasieu,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Calcasieu,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Calcasieu,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Calcasieu,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Calcasieu,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Calcasieu,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Calcasieu,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Calcasieu,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Calcasieu,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Calcasieu,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Calcasieu,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Calcasieu,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Calcasieu,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Calcasieu,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Calcasieu,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caldwell,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caldwell,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caldwell,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Caldwell,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Caldwell,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Caldwell,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Caldwell,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Caldwell,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Cameron,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Cameron,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Cameron,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Cameron,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Cameron,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Cameron,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Cameron,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Cameron,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Cameron,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Cameron,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Cameron,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Cameron,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Cameron,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Catahoula,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Catahoula,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Catahoula,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Catahoula,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Catahoula,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Catahoula,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Catahoula,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Catahoula,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Catahoula,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Catahoula,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Catahoula,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Catahoula,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Catahoula,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Catahoula,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Catahoula,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Catahoula,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Catahoula,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Claiborne,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Claiborne,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Claiborne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Claiborne,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Claiborne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Claiborne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Claiborne,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Claiborne,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Claiborne,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Claiborne,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Claiborne,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Claiborne,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Concordia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Concordia,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Concordia,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Concordia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Concordia,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Concordia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Concordia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Concordia,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Concordia,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Concordia,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Concordia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Concordia,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Concordia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Concordia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Concordia,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Concordia,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Concordia,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,De Soto,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,De Soto,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,De Soto,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,De Soto,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,De Soto,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,De Soto,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,De Soto,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,De Soto,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,De Soto,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,De Soto,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,De Soto,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,De Soto,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,De Soto,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,De Soto,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,De Soto,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,De Soto,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,East Baton Rouge,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Baton Rouge,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana FMOL Baton Rouge H1951-053 (HMO),HMO,No,,Enhanced Alternative,H1951,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana BR Clinic-BR Gen H1951-055 (HMO),HMO,No,,Enhanced Alternative,H1951,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Baton Rouge,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Baton Rouge,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,East Baton Rouge,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Baton Rouge,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,East Baton Rouge,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Baton Rouge,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,East Baton Rouge,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Baton Rouge,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Baton Rouge,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,East Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Baton Rouge,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,East Baton Rouge,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Baton Rouge,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Baton Rouge,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,East Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Carroll,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Carroll,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Carroll,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Carroll,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,East Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Carroll,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,East Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,East Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Carroll,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,East Feliciana,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Feliciana,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,East Feliciana,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Feliciana,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,East Feliciana,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,East Feliciana,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,East Feliciana,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,East Feliciana,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,East Feliciana,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,East Feliciana,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Feliciana,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,East Feliciana,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,East Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,East Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,East Feliciana,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,East Feliciana,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Feliciana,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,East Feliciana,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Evangeline,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Evangeline,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Evangeline,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Evangeline,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Evangeline,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Evangeline,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Evangeline,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Evangeline,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Evangeline,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Evangeline,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Evangeline,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Evangeline,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Evangeline,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Evangeline,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Evangeline,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Evangeline,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Franklin,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Franklin,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Franklin,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Franklin,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Franklin,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Franklin,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Franklin,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Franklin,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Grant,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Grant,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Grant,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Grant,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Grant,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Grant,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Grant,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Grant,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Grant,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Grant,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Grant,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Iberia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberia,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberia,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberia,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Iberia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberia,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberia,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Iberia,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Iberia,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Iberia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Iberia,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Iberia,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberia,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberia,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberia,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Iberia,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Iberia,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Iberville,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberville,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Iberville,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Iberville,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Iberville,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Iberville,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Iberville,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Iberville,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Iberville,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Iberville,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberville,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Iberville,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Iberville,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Iberville,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Iberville,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Iberville,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Iberville,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jackson,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jackson,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jackson,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jackson,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jackson,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Jackson,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jackson,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jackson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana Select Partner Plan H1951-038 (HMO),HMO,No,,Enhanced Alternative,H1951,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1951,044,0,,,$0.00 ,($16.30),$16.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana LCMC Advantage H1951-051 (HMO),HMO,No,,Enhanced Alternative,H1951,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jefferson,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Jefferson,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jefferson,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jefferson,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Jefferson,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jefferson,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jefferson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Jefferson Davis,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson Davis,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson Davis,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson Davis,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Jefferson Davis,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jefferson Davis,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Jefferson Davis,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Jefferson Davis,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Jefferson Davis,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Jefferson Davis,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jefferson Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Jefferson Davis,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Jefferson Davis,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,LaSalle,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,LaSalle,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,LaSalle,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,LaSalle,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,LaSalle,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,LaSalle,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,LaSalle,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,LaSalle,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,LaSalle,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,LaSalle,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,LaSalle,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,LaSalle,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,LaSalle,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,LaSalle,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,LaSalle,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,LaSalle,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,LaSalle,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,LaSalle,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafayette,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafayette,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Humana,Local CCP,Humana FMOL Lafayette H1951-054 (HMO),HMO,No,,Enhanced Alternative,H1951,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafayette,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lafayette,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Lafayette,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Lafayette,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lafayette,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafayette,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lafayette,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lafayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lafayette,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Lafayette,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafayette,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Lafourche,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafourche,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafourche,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafourche,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafourche,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Lafourche,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafourche,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lafourche,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lafourche,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Lafourche,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Lafourche,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafourche,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Lafourche,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lafourche,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lafourche,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lafourche,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lafourche,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Lafourche,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafourche,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lafourche,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lincoln,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lincoln,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lincoln,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Lincoln,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lincoln,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Lincoln,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Lincoln,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Lincoln,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Livingston,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana FMOL Baton Rouge H1951-053 (HMO),HMO,No,,Enhanced Alternative,H1951,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana BR Clinic-BR Gen H1951-055 (HMO),HMO,No,,Enhanced Alternative,H1951,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Livingston,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Livingston,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Livingston,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Livingston,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Livingston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Livingston,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Livingston,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Livingston,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Livingston,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Livingston,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Livingston,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Livingston,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Livingston,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Madison,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Madison,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Madison,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Madison,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Madison,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Madison,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Madison,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Madison,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Morehouse,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Morehouse,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Morehouse,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Morehouse,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Morehouse,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Morehouse,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Morehouse,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Morehouse,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Morehouse,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Morehouse,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Morehouse,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Morehouse,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Morehouse,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Morehouse,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Morehouse,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Morehouse,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Morehouse,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Natchitoches,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Natchitoches,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Natchitoches,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Natchitoches,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Natchitoches,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Natchitoches,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Natchitoches,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Natchitoches,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Natchitoches,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Natchitoches,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Natchitoches,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Natchitoches,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Natchitoches,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Natchitoches,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Natchitoches,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Natchitoches,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Orleans,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Orleans,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana Select Partner Plan H1951-038 (HMO),HMO,No,,Enhanced Alternative,H1951,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1951,044,0,,,$0.00 ,($16.30),$16.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana LCMC Advantage H1951-051 (HMO),HMO,No,,Enhanced Alternative,H1951,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Orleans,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Orleans,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Orleans,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Orleans,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Orleans,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Orleans,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Orleans,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Orleans,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Orleans,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Orleans,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Orleans,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Orleans,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Orleans,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Ouachita,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ouachita,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ouachita,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ouachita,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ouachita,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Ouachita,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ouachita,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Ouachita,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Ouachita,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Ouachita,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Ouachita,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Ouachita,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Ouachita,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Ouachita,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Ouachita,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Ouachita,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Plaquemines,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Plaquemines,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Plaquemines,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Plaquemines,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Plaquemines,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Plaquemines,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Plaquemines,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Plaquemines,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Plaquemines,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Plaquemines,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Plaquemines,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Plaquemines,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Plaquemines,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Plaquemines,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Plaquemines,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Plaquemines,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Plaquemines,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Plaquemines,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Pointe Coupee,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Pointe Coupee,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Pointe Coupee,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Pointe Coupee,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Pointe Coupee,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Pointe Coupee,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Pointe Coupee,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Pointe Coupee,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Pointe Coupee,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Pointe Coupee,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Pointe Coupee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Pointe Coupee,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Pointe Coupee,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Pointe Coupee,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Pointe Coupee,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Pointe Coupee,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Pointe Coupee,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Pointe Coupee,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Pointe Coupee,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Rapides,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Rapides,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Rapides,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Rapides,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Rapides,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Rapides,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Rapides,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Rapides,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Rapides,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Rapides,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Rapides,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Rapides,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Rapides,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Rapides,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Rapides,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Rapides,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Rapides,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Red River,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Red River,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Red River,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Red River,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Red River,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Red River,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Red River,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Red River,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Red River,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Red River,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Red River,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Red River,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Red River,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Red River,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Red River,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Red River,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Richland,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Richland,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Richland,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Richland,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Richland,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Richland,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Richland,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Richland,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Richland,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Richland,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Richland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Richland,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Richland,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Richland,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Richland,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Sabine,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Sabine,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Sabine,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Sabine,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Sabine,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Sabine,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Sabine,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Sabine,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Sabine,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Sabine,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Sabine,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Sabine,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Sabine,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Sabine,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Sabine,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Sabine,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Bernard,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Bernard,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Bernard,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Bernard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Bernard,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Bernard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Bernard,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Bernard,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Bernard,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Bernard,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Bernard,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Bernard,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Bernard,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Bernard,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Bernard,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Bernard,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Bernard,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Bernard,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Bernard,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Charles,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Charles,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Charles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Humana,Local CCP,Humana Select Partner Plan H1951-038 (HMO),HMO,No,,Enhanced Alternative,H1951,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Humana,Local CCP,Humana LCMC Advantage H1951-051 (HMO),HMO,No,,Enhanced Alternative,H1951,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Charles,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Charles,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Charles,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Charles,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Charles,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Charles,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Charles,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Charles,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Charles,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Charles,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Charles,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Charles,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Charles,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Charles,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Helena,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Helena,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Helena,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Helena,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Helena,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Helena,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Helena,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Helena,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Helena,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Helena,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Helena,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Helena,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Helena,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Helena,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Helena,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Helena,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Helena,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Helena,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Helena,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. James,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. James,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. James,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. James,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. James,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. James,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. James,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. James,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. James,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. James,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. James,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. James,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. James,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. James,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. James,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. James,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. James,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. James,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. John the Baptist,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. John the Baptist,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. John the Baptist,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. John the Baptist,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. John the Baptist,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. John the Baptist,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. John the Baptist,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. John the Baptist,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. John the Baptist,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. John the Baptist,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. John the Baptist,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. John the Baptist,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. John the Baptist,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. John the Baptist,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. John the Baptist,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. John the Baptist,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. John the Baptist,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. John the Baptist,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. John the Baptist,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. John the Baptist,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Landry,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Landry,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Landry,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Landry,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Landry,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Landry,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Landry,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Landry,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Landry,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Landry,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Landry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Landry,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Landry,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Landry,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Landry,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Landry,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Landry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Landry,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Landry,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Martin,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Martin,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Martin,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Martin,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Martin,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Martin,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Martin,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Martin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Martin,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Martin,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Martin,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Martin,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Martin,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Martin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Martin,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Martin,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Martin,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Mary,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Mary,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Mary,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Mary,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Mary,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Mary,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Mary,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Mary,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Mary,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Mary,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Mary,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Mary,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Mary,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Mary,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Mary,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Mary,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Mary,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,St. Tammany,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Tammany,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Tammany,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Tammany,Humana,Local CCP,Humana Gold Plus H1951-028 (HMO),HMO,No,,Enhanced Alternative,H1951,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,St. Tammany,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Tammany,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Tammany,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,St. Tammany,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Tammany,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,St. Tammany,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Tammany,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO),HMO,No,,Enhanced Alternative,H3928,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Tammany,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,St. Tammany,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,St. Tammany,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Tammany,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,St. Tammany,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,St. Tammany,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Tammany,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,St. Tammany,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Tangipahoa,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tangipahoa,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tangipahoa,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tangipahoa,Humana,Local CCP,Humana Gold Plus H1951-024 (HMO),HMO,No,,Enhanced Alternative,H1951,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Tangipahoa,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tangipahoa,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tangipahoa,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tangipahoa,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Tangipahoa,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Tangipahoa,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Tangipahoa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Tangipahoa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,021,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Tangipahoa,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,022,0,,Yes,$0.00 ,$27.20 ,$0.00 ,$27.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Tangipahoa,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Tangipahoa,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Tangipahoa,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tangipahoa,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Tangipahoa,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tangipahoa,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Tangipahoa,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Tensas,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tensas,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tensas,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tensas,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tensas,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Tensas,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tensas,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Tensas,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Tensas,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Tensas,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Tensas,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Tensas,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Tensas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Tensas,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Tensas,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Tensas,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Terrebonne,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Terrebonne,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Terrebonne,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Terrebonne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Terrebonne,Humana,Local CCP,Humana Gold Plus H1951-047 (HMO),HMO,No,,Enhanced Alternative,H1951,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Terrebonne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Terrebonne,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Terrebonne,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Terrebonne,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Terrebonne,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,1,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Terrebonne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,013,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Terrebonne,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Terrebonne,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Terrebonne,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Terrebonne,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,365,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Terrebonne,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Terrebonne,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Terrebonne,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Union,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Union,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Union,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Union,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Union,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Union,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Union,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Union,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Union,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Union,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Union,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Union,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Union,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Vermilion,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vermilion,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vermilion,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vermilion,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vermilion,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Vermilion,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vermilion,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vermilion,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Vermilion,Peoples Health,Local CCP,Peoples Health Choices Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Vermilion,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Vermilion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Vermilion,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Vermilion,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vermilion,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vermilion,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vermilion,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,234,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Vermilion,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Vermilion,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Vermilion,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vernon,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vernon,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vernon,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vernon,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Vernon,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vernon,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Vernon,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Vernon,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,3,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Vernon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Vernon,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Vernon,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Vernon,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Vernon,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Washington,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Washington,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Washington,Humana,Local CCP,Humana Gold Plus H1951-028 (HMO),HMO,No,,Enhanced Alternative,H1951,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Washington,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Washington,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,Washington,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Washington,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Washington,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Washington,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Washington,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Webster,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Webster,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Webster,Humana,Local CCP,Humana Gold Plus H1951-013 (HMO),HMO,No,,Enhanced Alternative,H1951,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Webster,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Webster,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,006,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Webster,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Webster,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Webster,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Webster,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,West Baton Rouge,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Baton Rouge,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana Select Partner Plan H1951-039 (HMO),HMO,No,,Enhanced Alternative,H1951,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana FMOL Baton Rouge H1951-053 (HMO),HMO,No,,Enhanced Alternative,H1951,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana BR Clinic-BR Gen H1951-055 (HMO),HMO,No,,Enhanced Alternative,H1951,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Baton Rouge,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Baton Rouge,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,West Baton Rouge,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Baton Rouge,Peoples Health,Local CCP,Peoples Health Medicare Advantage LA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,West Baton Rouge,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,West Baton Rouge,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,West Baton Rouge,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Baton Rouge,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Baton Rouge,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,366,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,472,0,,Yes,$0.00 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,473,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Signature (PPO),Local PPO,No,,Enhanced Alternative,H5521,474,0,,,$0.00 ,$24.10 ,$0.00 ,$24.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,West Baton Rouge,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,476,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Baton Rouge,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,West Baton Rouge,Ochsner Health Plan,Local CCP,Ochsner Health Plan Premier (HMO),HMO,No,,Enhanced Alternative,H9763,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,West Baton Rouge,Ochsner Health Plan,Local CCP,Ochsner Health Plan Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9763,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,West Baton Rouge,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,West Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Carroll,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Carroll,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Carroll,Humana,Local CCP,Humana Gold Plus H1951-049 (HMO),HMO,No,,Enhanced Alternative,H1951,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Carroll,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Carroll,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Carroll,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,West Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Carroll,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,230,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,West Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,West Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Carroll,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,West Feliciana,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Feliciana,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Feliciana,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,032,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Feliciana,Humana,Local CCP,Humana Gold Plus H1951-048 (HMO),HMO,No,,Enhanced Alternative,H1951,048,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,West Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Feliciana,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,West Feliciana,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Feliciana,Peoples Health,Local CCP,Peoples Health Choices 65 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1961,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Louisiana,West Feliciana,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare Endurance (HMO),HMO,No,,Enhanced Alternative,H2491,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,027,2,,,$0.00 ,($4.00),$4.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,West Feliciana,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,002,0,,,$0.00 ,($5.50),$5.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,West Feliciana,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,West Feliciana,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,West Feliciana,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Feliciana,Humana,Local CCP,HumanaChoice H5216-325 (PPO),Local PPO,No,,Enhanced Alternative,H5216,325,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,West Feliciana,Humana,Local CCP,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,332,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,178,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,West Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,West Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Feliciana,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,2,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,2,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,West Feliciana,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,West Feliciana,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H1248,004,0,,,$13.60 ,$86.40 ,$0.00 ,$86.40 ,$40.20 ,$0.00 ,,,Yes,4.5,3.5,4.0
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Liberty (PPO),Local PPO,No,,Enhanced Alternative,H1248,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,3.5,4.0
Louisiana,Winn,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Winn,Healthy Blue,Local CCP,Healthy Blue Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,001,0,,Yes,$0.00 ,$32.80 ,$0.00 ,$32.80 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Winn,Healthy Blue,Local CCP,Healthy Blue Enhanced Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1947,003,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Winn,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,041,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Winn,Humana,Local CCP,Humana Gold Plus H1951-052 (HMO),HMO,No,,Enhanced Alternative,H1951,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Louisiana,Winn,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,056,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Winn,Humana,Local CCP,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1951,057,0,,Yes,$0.00 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Louisiana,Winn,Peoples Health,Local CCP,Peoples Health Secure Health (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,003,0,,Yes,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Winn,Peoples Health,Local CCP,Peoples Health Secure Complete (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1961,019,0,,Yes,$0.00 ,$45.10 ,$0.00 ,$45.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2491,010,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$315.00 ,1,,,3.0,3.5,3.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare Dual Freedom Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,011,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare Dual Pinnacle Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,012,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2491,017,0,,,$0.00 ,($4.30),$4.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2491,025,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Louisiana,Winn,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H3047,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,3.0,3.0
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,007,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,011,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Louisiana,Winn,Peoples Health,Local CCP,Peoples Health Choices (PPO),Local PPO,No,,Enhanced Alternative,H4544,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Louisiana,Winn,UnitedHealthcare,Local CCP,UHC Dual Complete LA-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,010,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Louisiana,Winn,Humana,Local CCP,HumanaChoice H5216-064 (PPO),Local PPO,No,,Enhanced Alternative,H5216,064,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,Humana,Local CCP,Humana Value Plus H5216-161 (PPO),Local PPO,No,,Basic Alternative,H5216,161,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,Humana,Local CCP,HumanaChoice H5216-326 (PPO),Local PPO,No,,Enhanced Alternative,H5216,326,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,Humana,Local CCP,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,330,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,232,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,326,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,468,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Winn,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,469,0,,Yes,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.5
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,017,1,,,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6453,018,1,,,$104.30 ,$64.70 ,$0.00 ,$64.70 ,$18.50 ,$0.00 ,,,Yes,4.5,4.0,4.5
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Local CCP,Blue adVantage Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6453,019,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Louisiana,Winn,American Health Advantage of Louisiana,Local CCP,American Health Advantage of Louisiana (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8492,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Louisiana,Winn,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Maine,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,075,0,Yes,Yes,,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Maine,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,136,0,Yes,,,($17.30),$17.80 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Maine,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,204,0,Yes,,,$35.50 ,$43.40 ,$78.90 ,$43.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Maine,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,001,0,,,,$74.80 ,$32.40 ,$107.20 ,$71.20 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,046,0,,,,$78.90 ,$0.00 ,$78.90 ,$42.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,002,0,Yes,,,$44.90 ,$0.00 ,$44.90 ,$8.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,003,0,Yes,,,$48.80 ,$63.10 ,$111.90 ,$75.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,176,0,Yes,,,$7.50 ,$2.40 ,$9.90 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,003,0,Yes,Yes,,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,246,0,Yes,,,$82.80 ,$10.40 ,$93.20 ,$57.20 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,351,0,Yes,,,($1.20),$20.50 ,$19.30 ,$19.30 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,001,0,Yes,,,$68.60 ,$26.60 ,$95.20 ,$59.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Maine,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,101,0,Yes,Yes,,$36.90 ,$0.00 ,$36.90 ,$0.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Maine,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,148,0,Yes,,,$106.40 ,$15.20 ,$121.60 ,$85.60 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Maine,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,181,0,Yes,,,$41.80 ,$5.70 ,$47.50 ,$11.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Maine,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,378,0,Yes,,,$76.00 ,$0.00 ,$76.00 ,$40.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maine,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,384,0,Yes,,,$65.40 ,$4.90 ,$70.30 ,$34.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maine,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,001,0,,,,$96.30 ,$0.00 ,$96.30 ,$60.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Maine,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,071,0,,,,$76.80 ,$13.30 ,$90.10 ,$54.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Maine,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,104,0,,,,$0.20 ,$26.60 ,$26.80 ,$26.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Maine,Androscoggin,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Androscoggin,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Androscoggin,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Androscoggin,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Androscoggin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Androscoggin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Androscoggin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Androscoggin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Androscoggin,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Androscoggin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Androscoggin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Androscoggin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Androscoggin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Androscoggin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Androscoggin,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Androscoggin,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Androscoggin,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Androscoggin,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Androscoggin,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Androscoggin,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,006,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Androscoggin,Humana,Local CCP,Humana Gold Plus H5619-001 (HMO),HMO,No,,Enhanced Alternative,H5619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,4.0,3.5,4.0
Maine,Androscoggin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Androscoggin,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Androscoggin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Androscoggin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Androscoggin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Androscoggin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Androscoggin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Androscoggin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Androscoggin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Androscoggin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Androscoggin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Androscoggin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Aroostook,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Aroostook,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Aroostook,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Aroostook,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Aroostook,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Aroostook,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Aroostook,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Aroostook,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Aroostook,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Aroostook,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Aroostook,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Aroostook,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Aroostook,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Aroostook,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Aroostook,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Aroostook,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Aroostook,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Aroostook,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Aroostook,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Aroostook,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Aroostook,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,004,0,,,$62.90 ,$13.10 ,$0.00 ,$13.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Aroostook,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,007,0,,,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Aroostook,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,002,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$8.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Aroostook,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Aroostook,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Aroostook,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Aroostook,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Aroostook,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Cumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Cumberland,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Cumberland,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Cumberland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Cumberland,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Cumberland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Cumberland,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Cumberland,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Cumberland,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Cumberland,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Cumberland,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Cumberland,Humana,Local CCP,Humana Gold Plus H5619-001 (HMO),HMO,No,,Enhanced Alternative,H5619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,4.0,3.5,4.0
Maine,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Cumberland,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Cumberland,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Cumberland,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Cumberland,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Cumberland,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Cumberland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Cumberland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Cumberland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Cumberland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Cumberland,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Franklin,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Franklin,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Franklin,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Franklin,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Franklin,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Franklin,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Franklin,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Franklin,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Franklin,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Franklin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Franklin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Franklin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Franklin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Franklin,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Franklin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Franklin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Hancock,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Hancock,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Hancock,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Hancock,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Hancock,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Hancock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Hancock,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Hancock,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Hancock,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Hancock,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Hancock,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Hancock,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Hancock,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Hancock,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,004,0,,,$62.90 ,$13.10 ,$0.00 ,$13.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Hancock,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,007,0,,,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Hancock,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,002,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$8.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Hancock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Hancock,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Hancock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Hancock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Hancock,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Kennebec,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Kennebec,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Kennebec,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Kennebec,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Kennebec,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Kennebec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Kennebec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Kennebec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Kennebec,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Kennebec,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Kennebec,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Kennebec,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Kennebec,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Kennebec,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Kennebec,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Kennebec,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Kennebec,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Kennebec,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Kennebec,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Kennebec,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Kennebec,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,006,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Kennebec,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Kennebec,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Kennebec,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Kennebec,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Kennebec,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Kennebec,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Kennebec,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Kennebec,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Kennebec,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Kennebec,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Kennebec,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Kennebec,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Kennebec,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Kennebec,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Knox,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Knox,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Knox,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Knox,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Knox,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Knox,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Knox,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Knox,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Knox,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Knox,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Knox,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Knox,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Knox,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Knox,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Knox,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Knox,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Knox,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Knox,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Knox,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Knox,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Knox,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Knox,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Knox,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Lincoln,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Lincoln,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Lincoln,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Lincoln,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Lincoln,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Lincoln,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Lincoln,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Lincoln,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Lincoln,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Lincoln,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Lincoln,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Lincoln,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Lincoln,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Lincoln,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Lincoln,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Lincoln,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Oxford,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Oxford,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Oxford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Oxford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Oxford,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Oxford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Oxford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Oxford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Oxford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Oxford,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Oxford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Oxford,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Oxford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Oxford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Oxford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Oxford,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Oxford,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Oxford,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Oxford,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Oxford,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Oxford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Oxford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Oxford,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Oxford,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Oxford,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Oxford,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Oxford,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Oxford,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Oxford,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Oxford,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Oxford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Oxford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Oxford,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Oxford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Oxford,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Penobscot,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Penobscot,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Penobscot,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Penobscot,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Penobscot,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Penobscot,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Penobscot,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Penobscot,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Penobscot,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Penobscot,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Penobscot,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Penobscot,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Penobscot,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Penobscot,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Penobscot,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Penobscot,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Penobscot,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Penobscot,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Penobscot,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Penobscot,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Penobscot,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Penobscot,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Penobscot,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,004,0,,,$62.90 ,$13.10 ,$0.00 ,$13.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Penobscot,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,007,0,,,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Penobscot,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,002,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$8.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Penobscot,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Penobscot,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Penobscot,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Penobscot,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Penobscot,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Piscataquis,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Piscataquis,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Piscataquis,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Piscataquis,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Piscataquis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Piscataquis,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Piscataquis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Piscataquis,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Piscataquis,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Piscataquis,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Piscataquis,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Piscataquis,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Piscataquis,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Piscataquis,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Piscataquis,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Piscataquis,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Piscataquis,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Piscataquis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Piscataquis,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Piscataquis,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Piscataquis,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,004,0,,,$62.90 ,$13.10 ,$0.00 ,$13.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Piscataquis,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,007,0,,,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Piscataquis,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,002,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$8.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Piscataquis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Piscataquis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Piscataquis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Piscataquis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Piscataquis,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Sagadahoc,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Sagadahoc,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Sagadahoc,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Sagadahoc,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Sagadahoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Sagadahoc,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Sagadahoc,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Sagadahoc,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Sagadahoc,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Sagadahoc,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Sagadahoc,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Sagadahoc,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,006,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Sagadahoc,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Sagadahoc,Humana,Local CCP,Humana Gold Plus H5619-001 (HMO),HMO,No,,Enhanced Alternative,H5619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,4.0,3.5,4.0
Maine,Sagadahoc,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Sagadahoc,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Sagadahoc,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Sagadahoc,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Sagadahoc,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Sagadahoc,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Sagadahoc,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Sagadahoc,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Sagadahoc,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Somerset,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Somerset,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,Somerset,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Somerset,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Somerset,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Somerset,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Somerset,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Somerset,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Somerset,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Somerset,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Somerset,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Somerset,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Somerset,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Somerset,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Somerset,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Somerset,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Somerset,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Somerset,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Somerset,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Somerset,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Somerset,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Somerset,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Somerset,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Somerset,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Somerset,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Somerset,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Waldo,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Waldo,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Waldo,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Waldo,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Waldo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,Waldo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,Waldo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Waldo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Waldo,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Waldo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Waldo,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Waldo,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Waldo,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Waldo,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3597,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,Waldo,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Waldo,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Waldo,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Waldo,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Waldo,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Waldo,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Waldo,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Waldo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Waldo,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Waldo,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
Maine,Waldo,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Waldo,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,003,0,,,$12.80 ,$9.20 ,$0.00 ,$9.20 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Waldo,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Waldo,AMH Health,Local CCP,Anthem I MaineHealth Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H9065,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Waldo,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Waldo,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Waldo,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Waldo,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Waldo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Waldo,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,Washington,UnitedHealthcare,Local CCP,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,020,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Washington,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,Washington,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,Washington,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2001,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Maine,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,Washington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,009,0,,,$5.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.5,4.0
Maine,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,Washington,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,Washington,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,Washington,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,Washington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,Washington,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.5,4.5
Maine,Washington,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,2,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,Washington,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,Washington,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,Washington,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,004,0,,,$62.90 ,$13.10 ,$0.00 ,$13.10 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,Washington,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,007,0,,,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,Washington,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,002,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$8.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,Washington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,Washington,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maine,York,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,006,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,York,UnitedHealthcare,Local CCP,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,065,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maine,York,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
Maine,York,UnitedHealthcare,Local CCP,UHC Northern Light Health ME-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Maine,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,4.5,4.0,4.5
Maine,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2001,010,0,,,$3.50 ,$50.50 ,$0.00 ,$50.50 ,$14.50 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Maine,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ME-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2001,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,York,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,109,0,,,$0.00 ,($14.70),$14.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Maine,York,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,114,0,,Yes,$0.00 ,$21.90 ,$0.00 ,$21.90 ,$0.00 ,$485.00 ,1,,,3.0,3.0,3.0
Maine,York,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,115,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maine,York,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3597,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Maine,York,Aetna Medicare,Local CCP,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,011,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,York,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3597,012,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maine,York,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Maine,York,Humana,Local CCP,HumanaChoice H5216-175 (PPO),Local PPO,No,,Enhanced Alternative,H5216,175,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Maine,York,Humana,Local CCP,HumanaChoice H5216-177 (PPO),Local PPO,No,,Enhanced Alternative,H5216,177,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Maine,York,Humana,Local CCP,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,291,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maine,York,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,144,0,,,$27.20 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Maine,York,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Maine,York,Humana,Local CCP,Humana Gold Plus H5619-001 (HMO),HMO,No,,Enhanced Alternative,H5619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,4.0,3.5,4.0
Maine,York,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,003,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Maine,York,Humana,Local CCP,Humana Gold Plus H5619-066 (HMO),HMO,No,,Enhanced Alternative,H5619,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,3.5,4.0
Maine,York,AMH Health,Local CCP,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9065,001,0,,Yes,$0.00 ,$23.30 ,$0.00 ,$23.30 ,$0.00 ,$545.00 ,,,,3.5,4.5,3.5
Maine,York,AMH Health,Local CCP,Anthem I MaineHealth Advantage Choice (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9065,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.5,3.5
Maine,York,AMH Health,Local CCP,Anthem I MaineHealth Advantage Extra (HMO),HMO,No,,Enhanced Alternative,H9065,006,0,,,$0.00 ,$16.70 ,$0.00 ,$16.70 ,$0.00 ,$275.00 ,1,,Yes,3.5,4.5,3.5
Maine,York,AMH Health,Local CCP,Anthem I MaineHealth Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H9219,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,3.5
Maine,York,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9364,001,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.5,4.0,3.5
Maine,York,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,002,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,York,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9364,003,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Maine,York,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9364,004,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,4.0,3.5
Maine,York,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Maryland,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,079,0,Yes,Yes,,$37.40 ,$0.00 ,$37.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Maryland,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,140,0,Yes,,,($17.50),$17.90 ,$0.40 ,$0.40 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Maryland,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,208,0,Yes,,,$32.80 ,$46.10 ,$78.90 ,$46.10 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Maryland,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,010,0,Yes,Yes,,$42.50 ,$0.00 ,$42.50 ,$1.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,011,0,Yes,,,$61.70 ,$51.70 ,$113.40 ,$72.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,180,0,Yes,,,$10.00 ,$2.40 ,$12.40 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,214,0,Yes,Yes,,$41.40 ,$0.00 ,$41.40 ,$0.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,250,0,Yes,,,$58.20 ,$10.90 ,$69.10 ,$27.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,355,0,Yes,,,$2.00 ,$18.00 ,$20.00 ,$18.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,004,0,Yes,,,$71.00 ,$32.00 ,$103.00 ,$61.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Maryland,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,103,0,Yes,,,$44.40 ,$0.00 ,$44.40 ,$3.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Maryland,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,151,0,Yes,,,$77.10 ,$27.50 ,$104.60 ,$63.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Maryland,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,184,0,Yes,,,$38.30 ,$5.20 ,$43.50 ,$5.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Maryland,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,350,0,Yes,,,$62.40 ,$0.00 ,$62.40 ,$21.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,387,0,Yes,,,$47.70 ,$6.50 ,$54.20 ,$12.90 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Maryland,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,004,0,,,,$89.10 ,$0.00 ,$89.10 ,$47.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Maryland,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,074,0,,,,$71.40 ,$13.20 ,$84.60 ,$43.30 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Maryland,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,107,0,,,,($0.80),$27.10 ,$26.30 ,$26.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Maryland,Allegany,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Allegany,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Allegany,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Allegany,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Allegany,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Allegany,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Anne Arundel,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,022,0,,,$38.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Anne Arundel,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,030,0,,,$47.70 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Anne Arundel,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,036,0,,,$6.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Anne Arundel,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,041,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Anne Arundel,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,2,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Anne Arundel,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Anne Arundel,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Anne Arundel,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Anne Arundel,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Anne Arundel,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Anne Arundel,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,2,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Anne Arundel,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,2,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$12.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Primary (PPO),Local PPO,No,,Enhanced Alternative,H3890,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Anne Arundel,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Anne Arundel,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Anne Arundel,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Anne Arundel,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,1,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Anne Arundel,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,1,,,$31.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Anne Arundel,Humana,Local CCP,Humana Gold Plus H6622-081 (HMO),HMO,No,,Enhanced Alternative,H6622,081,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Maryland,Anne Arundel,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,086,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Anne Arundel,KeyCare Advantage,Local CCP,KeyCare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6959,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Maryland,Anne Arundel,KeyCare Advantage,Local CCP,KeyCare Advantage Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6959,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,4.0,Not enough data available
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Anne Arundel,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Anne Arundel,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Anne Arundel,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Anne Arundel,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Anne Arundel,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Anne Arundel,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Anne Arundel,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Anne Arundel,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Anne Arundel,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Baltimore,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Baltimore,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,022,0,,,$38.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,030,0,,,$47.70 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,036,0,,,$6.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,041,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Baltimore,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,2,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Baltimore,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value Balt (HMO),HMO,No,,Enhanced Alternative,H2172,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Baltimore,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,2,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,2,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$12.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Maryland,Baltimore,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Baltimore,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Baltimore,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Primary (PPO),Local PPO,No,,Enhanced Alternative,H3890,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Baltimore,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Baltimore,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,2,,,$15.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Baltimore,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,2,,,$51.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Baltimore,Humana,Local CCP,Humana Gold Plus H6622-081 (HMO),HMO,No,,Enhanced Alternative,H6622,081,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,086,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore,KeyCare Advantage,Local CCP,KeyCare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6959,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Maryland,Baltimore,KeyCare Advantage,Local CCP,KeyCare Advantage Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6959,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,4.0,Not enough data available
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Baltimore,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Baltimore,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Baltimore,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Baltimore,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Baltimore City,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,022,0,,,$38.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore City,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,030,0,,,$47.70 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore City,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,036,0,,,$6.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Baltimore City,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,041,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Baltimore City,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,2,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Baltimore City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value Balt (HMO),HMO,No,,Enhanced Alternative,H2172,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Baltimore City,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore City,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore City,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,2,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Maryland,Baltimore City,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,2,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$12.70 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Maryland,Baltimore City,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Baltimore City,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Baltimore City,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,2,,,$15.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Baltimore City,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,2,,,$51.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Baltimore City,Humana,Local CCP,Humana Gold Plus H6622-081 (HMO),HMO,No,,Enhanced Alternative,H6622,081,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore City,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,086,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Baltimore City,KeyCare Advantage,Local CCP,KeyCare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6959,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Maryland,Baltimore City,KeyCare Advantage,Local CCP,KeyCare Advantage Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6959,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,4.0,Not enough data available
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore City,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Baltimore City,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Baltimore City,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Baltimore City,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Baltimore City,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore City,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore City,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Baltimore City,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Baltimore City,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Calvert,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Calvert,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Calvert,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Calvert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Calvert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Calvert,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Calvert,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Calvert,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Calvert,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Calvert,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Calvert,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Calvert,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Caroline,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Caroline,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Caroline,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Caroline,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Caroline,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Caroline,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Caroline,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Caroline,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Caroline,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Caroline,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Caroline,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Carroll,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Carroll,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Carroll,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Carroll,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Carroll,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Carroll,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Carroll,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Carroll,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Carroll,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Carroll,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Carroll,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Carroll,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Carroll,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,1,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Carroll,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,1,,,$31.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Carroll,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Carroll,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Carroll,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Carroll,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Carroll,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Carroll,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Carroll,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Carroll,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Cecil,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Cecil,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Cecil,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Cecil,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Cecil,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Cecil,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Cecil,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Cecil,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Cecil,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Cecil,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Cecil,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Cecil,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Charles,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Charles,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Charles,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Charles,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Charles,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Charles,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Charles,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Charles,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Charles,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Charles,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Charles,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Charles,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Charles,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Charles,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Dorchester,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Dorchester,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Dorchester,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Dorchester,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Dorchester,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Dorchester,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Dorchester,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Dorchester,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Dorchester,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Dorchester,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Dorchester,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Dorchester,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Dorchester,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Dorchester,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Frederick,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Frederick,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Frederick,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Frederick,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Frederick,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Frederick,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Frederick,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Frederick,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Primary (PPO),Local PPO,No,,Enhanced Alternative,H3890,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Frederick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Frederick,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Frederick,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Frederick,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Frederick,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,1,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Frederick,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,1,,,$31.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Frederick,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Frederick,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Frederick,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Frederick,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Frederick,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Frederick,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Frederick,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Frederick,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Garrett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Garrett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Garrett,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Garrett,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Garrett,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Garrett,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Garrett,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Garrett,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Garrett,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Garrett,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Garrett,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Harford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Harford,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,022,0,,,$38.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Harford,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2108,030,0,,,$47.70 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Harford,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H2108,036,0,,,$6.10 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Maryland,Harford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,041,0,,Yes,$0.00 ,$32.70 ,$0.00 ,$32.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Harford,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2108,043,2,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Maryland,Harford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Harford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Harford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Harford,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Harford,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Harford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Harford,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,1,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Harford,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,1,,,$31.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Harford,Humana,Local CCP,Humana Gold Plus H6622-081 (HMO),HMO,No,,Enhanced Alternative,H6622,081,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Maryland,Harford,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,086,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Harford,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Harford,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Harford,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Harford,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Harford,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Harford,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Harford,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Harford,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Harford,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Harford,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Harford,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Howard,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Howard,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Howard,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Howard,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Howard,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Howard,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Howard,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Howard,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Howard,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Howard,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Howard,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Primary (PPO),Local PPO,No,,Enhanced Alternative,H3890,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Howard,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Howard,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Howard,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,1,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Howard,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,1,,,$31.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Howard,Humana,Local CCP,Humana Gold Plus H6622-081 (HMO),HMO,No,,Enhanced Alternative,H6622,081,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Maryland,Howard,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,086,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Howard,KeyCare Advantage,Local CCP,KeyCare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6959,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Maryland,Howard,KeyCare Advantage,Local CCP,KeyCare Advantage Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6959,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,4.0,Not enough data available
Maryland,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Howard,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Howard,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Howard,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Howard,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Howard,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Howard,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Howard,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Howard,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Kent,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Kent,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Kent,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Kent,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Kent,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Kent,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Kent,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Kent,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Kent,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Kent,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Kent,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Montgomery,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Montgomery,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Montgomery,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Montgomery,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Care Advantage MD-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,032,0,,,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Montgomery,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Montgomery,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Montgomery,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Premier (PPO),Local PPO,No,,Enhanced Alternative,H3890,004,0,,,$197.30 ,$34.50 ,$59.20 ,$93.70 ,$59.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Montgomery,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Primary (PPO),Local PPO,No,,Enhanced Alternative,H3890,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Connect Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,097,0,,,$49.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3931,159,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Maryland,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4094,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.0,2.5,3.5
Maryland,Montgomery,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Montgomery,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Montgomery,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,2,,,$15.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Montgomery,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,2,,,$51.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Montgomery,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Montgomery,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Montgomery,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Montgomery,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Montgomery,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Montgomery,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,002,0,,,$76.10 ,$59.90 ,$0.00 ,$59.90 ,$18.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Prince George's,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard MD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,004,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Prince George's,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value MD (HMO),HMO,No,,Enhanced Alternative,H2172,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Care Advantage MD-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,032,0,,,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Prince George's,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,2,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Maryland,Prince George's,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Prince George's,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Prince George's,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Maryland,Prince George's,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Core (HMO),HMO,No,,Enhanced Alternative,H6067,001,2,,,$15.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Maryland,Prince George's,CareFirst BlueCross BlueShield Medicare Advantage,Local CCP,CareFirst BlueCross BlueShield Advantage Enhanced (HMO),HMO,No,,Enhanced Alternative,H6067,002,2,,,$51.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Prince George's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Prince George's,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Prince George's,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Prince George's,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Prince George's,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Prince George's,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Prince George's,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Queen Anne's,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Queen Anne's,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Queen Anne's,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Queen Anne's,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Queen Anne's,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Queen Anne's,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Queen Anne's,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Queen Anne's,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Queen Anne's,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Queen Anne's,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Queen Anne's,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Queen Anne's,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Queen Anne's,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Somerset,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Somerset,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Somerset,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Somerset,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Somerset,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Somerset,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Somerset,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Somerset,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Somerset,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Somerset,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Somerset,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Somerset,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Somerset,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Somerset,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,St. Mary's,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,St. Mary's,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,St. Mary's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,St. Mary's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,St. Mary's,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,St. Mary's,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Talbot,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Talbot,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Talbot,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Talbot,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Talbot,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Talbot,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Talbot,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Talbot,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Talbot,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Talbot,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Talbot,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Talbot,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Talbot,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Talbot,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Washington,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Washington,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Maryland,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MD-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,084,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.70 ,$195.00 ,1,,Yes,4.0,4.5,4.0
Maryland,Washington,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Washington,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Washington,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Washington,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Washington,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Washington,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Washington,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Washington,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Washington,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Washington,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Washington,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Washington,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Wicomico,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Maryland,Wicomico,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Wicomico,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Wicomico,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Wicomico,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Wicomico,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Wicomico,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Wicomico,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Wicomico,UnitedHealthcare,Local CCP,UHC Dual Complete MD-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,008,1,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Wicomico,UnitedHealthcare,Local CCP,UHC Dual Complete MD-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,011,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Wicomico,UnitedHealthcare,Local CCP,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,012,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Maryland,Wicomico,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Wicomico,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Wicomico,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Wicomico,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Wicomico,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Wicomico,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Worcester,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (HMO),HMO,No,,Enhanced Alternative,H1225,001,0,,,$8.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Maryland,Worcester,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1225,003,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Maryland,Worcester,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD (PPO),Local PPO,No,,Enhanced Alternative,H3890,001,0,,,$46.70 ,$43.30 ,$0.00 ,$43.30 ,$2.00 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Worcester,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Plus (PPO),Local PPO,No,,Enhanced Alternative,H3890,002,0,,,$67.50 ,$46.20 ,$6.30 ,$52.50 ,$11.20 ,$0.00 ,,,,3.0,3.5,3.0
Maryland,Worcester,Humana,Local CCP,HumanaChoice H5216-376 (PPO),Local PPO,No,,Enhanced Alternative,H5216,376,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$505.00 ,1,,,4.5,4.0,4.5
Maryland,Worcester,Humana,Local CCP,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,377,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Maryland,Worcester,Humana,Local CCP,HumanaChoice H5216-387 (PPO),Local PPO,No,,Enhanced Alternative,H5216,387,1,,,$37.90 ,$41.10 ,$0.00 ,$41.10 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Maryland,Worcester,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,001,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Worcester,Provider Partners Health Plans,Local CCP,Provider Partners Maryland Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8067,003,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Maryland,Worcester,CareFirst BlueCross BlueShield Medicare Advantage Dual Prime,Local CCP,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8854,002,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Maryland,Worcester,Alterwood Advantage,Local CCP,Alterwood Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H9306,001,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Worcester,Alterwood Advantage,Local CCP,Alterwood Advantage Choice Plus (HMO),HMO,No,,Enhanced Alternative,H9306,002,0,,,$53.90 ,$61.50 ,$9.60 ,$71.10 ,$29.80 ,$0.00 ,,,,2.5,3.0,2.5
Maryland,Worcester,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Secure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,004,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Maryland,Worcester,Alterwood Advantage,Local CCP,Alterwood Advantage Select (HMO),HMO,No,,Enhanced Alternative,H9306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,2.5,3.0,2.5
Maryland,Worcester,Alterwood Advantage,Local CCP,Alterwood Advantage Dual Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9306,007,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Massachusetts,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S2893,001,0,,,,$53.40 ,$0.00 ,$53.40 ,$9.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Massachusetts,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2893,003,0,,,,$113.10 ,$42.70 ,$155.80 ,$112.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Massachusetts,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,076,0,Yes,Yes,,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Massachusetts,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,137,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Massachusetts,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,205,0,Yes,,,$35.80 ,$43.00 ,$78.80 ,$43.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Massachusetts,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,004,0,Yes,,,$50.90 ,$0.00 ,$50.90 ,$7.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,005,0,Yes,,,$53.50 ,$57.00 ,$110.50 ,$67.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,177,0,Yes,,,$13.30 ,$2.40 ,$15.70 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,008,0,Yes,,,$54.30 ,$0.00 ,$54.30 ,$10.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,247,0,Yes,,,$78.70 ,$11.90 ,$90.60 ,$47.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,352,0,Yes,,,$3.80 ,$18.10 ,$21.90 ,$18.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,002,0,Yes,,,$81.10 ,$29.10 ,$110.20 ,$66.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Massachusetts,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,102,0,Yes,,,$67.50 ,$0.00 ,$67.50 ,$24.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Massachusetts,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,149,0,Yes,,,$86.00 ,$22.40 ,$108.40 ,$64.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Massachusetts,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,182,0,Yes,,,$49.90 ,$4.70 ,$54.60 ,$11.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Massachusetts,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,348,0,Yes,Yes,,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,385,0,Yes,,,$67.10 ,$5.40 ,$72.50 ,$29.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Massachusetts,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,002,0,,,,$110.80 ,$0.00 ,$110.80 ,$67.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Massachusetts,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,072,0,,,,$92.40 ,$10.00 ,$102.40 ,$58.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Massachusetts,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,105,0,,,,$2.40 ,$25.50 ,$27.90 ,$25.50 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Massachusetts,Barnstable,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,2,,,$135.00 ,$38.10 ,$46.90 ,$85.00 ,$46.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,2,,,$133.00 ,$33.40 ,$19.60 ,$53.00 ,$19.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,7,,,$103.00 ,$26.80 ,$29.20 ,$56.00 ,$29.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,2,,,$13.00 ,$29.80 ,$8.20 ,$38.00 ,$8.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Barnstable,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Barnstable,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Barnstable,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Barnstable,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Barnstable,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Barnstable,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Barnstable,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Barnstable,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Barnstable,WellSense Health Plan,Local CCP,WellSense Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9585,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Massachusetts,Barnstable,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Barnstable,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Berkshire,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Berkshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H2737,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,3.5,3.5
Massachusetts,Berkshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass Premier (PPO),Local PPO,No,,Enhanced Alternative,H2737,002,0,,,$85.30 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$250.00 ,1,,,3.5,3.5,3.5
Massachusetts,Berkshire,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Berkshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Premium (HMO),HMO,No,,Enhanced Alternative,H8578,001,0,,,$159.30 ,$8.70 ,$0.00 ,$8.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
Massachusetts,Berkshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H8578,004,0,,,$94.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Massachusetts,Berkshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Value (HMO),HMO,No,,Enhanced Alternative,H8578,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,4.0,3.5
Massachusetts,Berkshire,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Berkshire,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Berkshire,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Berkshire,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Berkshire,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Berkshire,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Berkshire,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Berkshire,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Berkshire,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Bristol,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Bristol,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Bristol,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Bristol,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Bristol,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Bristol,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Bristol,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Bristol,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,2,,,$135.00 ,$38.10 ,$46.90 ,$85.00 ,$46.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,2,,,$133.00 ,$33.40 ,$19.60 ,$53.00 ,$19.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,7,,,$103.00 ,$26.80 ,$29.20 ,$56.00 ,$29.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,2,,,$13.00 ,$29.80 ,$8.20 ,$38.00 ,$8.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Bristol,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Bristol,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Bristol,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Bristol,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Massachusetts,Bristol,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H2879,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.0,3.0,3.0
Massachusetts,Bristol,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Bristol,Humana,Local CCP,HumanaChoice H5216-249 (PPO),Local PPO,No,,Enhanced Alternative,H5216,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Bristol,Humana,Local CCP,HumanaChoice H5216-250 (PPO),Local PPO,No,,Enhanced Alternative,H5216,250,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Bristol,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Bristol,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Bristol,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Bristol,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Bristol,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Bristol,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Bristol,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Bristol,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Bristol,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Bristol,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Bristol,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Bristol,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Bristol,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Bristol,WellSense Health Plan,Local CCP,WellSense Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9585,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Massachusetts,Bristol,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Bristol,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Bristol,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Bristol,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Bristol,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Bristol,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Dukes,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Essex,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Essex,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Essex,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Essex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Essex,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,1,,,$156.00 ,$38.10 ,$53.90 ,$92.00 ,$53.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,1,,,$156.00 ,$33.40 ,$26.60 ,$60.00 ,$26.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,1,,,$123.00 ,$26.80 ,$31.20 ,$58.00 ,$31.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,1,,,$28.00 ,$29.80 ,$3.20 ,$33.00 ,$3.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Essex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Essex,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Massachusetts,Essex,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H2879,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.0,3.0,3.0
Massachusetts,Essex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Essex,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Essex,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Essex,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Essex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Essex,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Essex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Essex,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Essex,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Essex,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Essex,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Essex,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Essex,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Essex,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Essex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Essex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Essex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Essex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Essex,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Essex,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Essex,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Essex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Essex,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Essex,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Franklin,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Franklin,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Franklin,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Franklin,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Franklin,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Franklin,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H2737,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,3.5,3.5
Massachusetts,Franklin,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass Premier (PPO),Local PPO,No,,Enhanced Alternative,H2737,002,0,,,$85.30 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$250.00 ,1,,,3.5,3.5,3.5
Massachusetts,Franklin,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Premium (HMO),HMO,No,,Enhanced Alternative,H8578,001,0,,,$159.30 ,$8.70 ,$0.00 ,$8.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
Massachusetts,Franklin,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H8578,004,0,,,$94.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Massachusetts,Franklin,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Value (HMO),HMO,No,,Enhanced Alternative,H8578,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,4.0,3.5
Massachusetts,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Franklin,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Franklin,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,16,,,$42.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Franklin,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,16,,,$86.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Franklin,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Franklin,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Franklin,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Franklin,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Franklin,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Franklin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampden,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Hampden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampden,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Hampden,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Hampden,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Hampden,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Hampden,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,6,,,$47.00 ,$38.10 ,$43.90 ,$82.00 ,$43.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,6,,,$47.00 ,$33.40 ,$28.60 ,$62.00 ,$28.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,8,,,$26.00 ,$26.80 ,$36.20 ,$63.00 ,$36.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,3,,,$18.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampden,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H2737,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass Premier (PPO),Local PPO,No,,Enhanced Alternative,H2737,002,0,,,$85.30 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$250.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampden,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Hampden,Humana,Local CCP,HumanaChoice H5216-249 (PPO),Local PPO,No,,Enhanced Alternative,H5216,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Hampden,Humana,Local CCP,HumanaChoice H5216-250 (PPO),Local PPO,No,,Enhanced Alternative,H5216,250,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Hampden,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Hampden,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,448,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Hampden,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,450,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Hampden,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Hampden,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Premium (HMO),HMO,No,,Enhanced Alternative,H8578,001,0,,,$159.30 ,$8.70 ,$0.00 ,$8.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H8578,004,0,,,$94.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Value (HMO),HMO,No,,Enhanced Alternative,H8578,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampden,Health New England Medicare Advantage Plans,Local CCP,Health New England Baystate Health Preferred (HMO),HMO,No,,Enhanced Alternative,H8578,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$270.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Hampden,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Hampden,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,16,,,$42.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampden,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,16,,,$86.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Hampden,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampden,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampden,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Hampden,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Hampden,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Hampden,WellSense Health Plan,Local CCP,WellSense Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9585,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Massachusetts,Hampden,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Hampden,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Hampden,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Hampden,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Hampden,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Hampden,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampshire,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Hampshire,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Hampshire,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Hampshire,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,6,,,$47.00 ,$38.10 ,$43.90 ,$82.00 ,$43.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,6,,,$47.00 ,$33.40 ,$28.60 ,$62.00 ,$28.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,8,,,$26.00 ,$26.80 ,$36.20 ,$63.00 ,$36.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,3,,,$18.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampshire,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H2737,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Compass Premier (PPO),Local PPO,No,,Enhanced Alternative,H2737,002,0,,,$85.30 ,$13.70 ,$0.00 ,$13.70 ,$0.00 ,$250.00 ,1,,,3.5,3.5,3.5
Massachusetts,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,448,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,450,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Hampshire,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Premium (HMO),HMO,No,,Enhanced Alternative,H8578,001,0,,,$159.30 ,$8.70 ,$0.00 ,$8.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H8578,004,0,,,$94.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Medicare Value (HMO),HMO,No,,Enhanced Alternative,H8578,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$290.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampshire,Health New England Medicare Advantage Plans,Local CCP,Health New England Baystate Health Preferred (HMO),HMO,No,,Enhanced Alternative,H8578,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$270.00 ,1,,,3.5,4.0,3.5
Massachusetts,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Hampshire,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Hampshire,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,16,,,$42.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampshire,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,16,,,$86.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Hampshire,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampshire,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Hampshire,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Hampshire,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Hampshire,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Hampshire,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Hampshire,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Hampshire,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Hampshire,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Hampshire,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Middlesex,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Middlesex,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Middlesex,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,004,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$5.50 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Middlesex,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Middlesex,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Middlesex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Middlesex,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Middlesex,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,2,,,$135.00 ,$38.10 ,$46.90 ,$85.00 ,$46.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,2,,,$133.00 ,$33.40 ,$19.60 ,$53.00 ,$19.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,7,,,$103.00 ,$26.80 ,$29.20 ,$56.00 ,$29.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,2,,,$13.00 ,$29.80 ,$8.20 ,$38.00 ,$8.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Middlesex,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Middlesex,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Middlesex,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Middlesex,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Middlesex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Middlesex,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Massachusetts,Middlesex,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Middlesex,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Middlesex,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Middlesex,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Middlesex,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Middlesex,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Middlesex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Middlesex,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Middlesex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Middlesex,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Middlesex,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Middlesex,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Middlesex,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Middlesex,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Middlesex,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Middlesex,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Nantucket,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Norfolk,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Norfolk,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Norfolk,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Norfolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Norfolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Norfolk,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Norfolk,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Norfolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Norfolk,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Norfolk,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,2,,,$135.00 ,$38.10 ,$46.90 ,$85.00 ,$46.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,2,,,$133.00 ,$33.40 ,$19.60 ,$53.00 ,$19.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,7,,,$103.00 ,$26.80 ,$29.20 ,$56.00 ,$29.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,2,,,$13.00 ,$29.80 ,$8.20 ,$38.00 ,$8.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Norfolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Norfolk,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Norfolk,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Norfolk,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Norfolk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Norfolk,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Norfolk,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Norfolk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Norfolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Norfolk,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Norfolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Norfolk,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Norfolk,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Norfolk,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Norfolk,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Norfolk,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Norfolk,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Norfolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Norfolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Norfolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Norfolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Norfolk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Norfolk,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Norfolk,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Norfolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Norfolk,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Norfolk,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Plymouth,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Plymouth,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Plymouth,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Plymouth,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Plymouth,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Plymouth,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,2,,,$135.00 ,$38.10 ,$46.90 ,$85.00 ,$46.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,2,,,$133.00 ,$33.40 ,$19.60 ,$53.00 ,$19.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,7,,,$103.00 ,$26.80 ,$29.20 ,$56.00 ,$29.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,2,,,$13.00 ,$29.80 ,$8.20 ,$38.00 ,$8.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Plymouth,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Plymouth,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Plymouth,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Plymouth,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Massachusetts,Plymouth,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H2879,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.0,3.0,3.0
Massachusetts,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Massachusetts,Plymouth,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Plymouth,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Plymouth,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Plymouth,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Plymouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Plymouth,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Plymouth,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Plymouth,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Plymouth,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Plymouth,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Plymouth,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Plymouth,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Plymouth,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Plymouth,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Plymouth,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Plymouth,WellSense Health Plan,Local CCP,WellSense Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9585,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Massachusetts,Plymouth,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Plymouth,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Plymouth,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Plymouth,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Plymouth,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Plymouth,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Suffolk,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Suffolk,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Suffolk,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Suffolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Suffolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,004,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$5.50 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Suffolk,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Suffolk,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Suffolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Suffolk,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Suffolk,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,1,,,$38.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx Plus (HMO),HMO,No,,Enhanced Alternative,H2256,001,1,,,$156.00 ,$38.10 ,$53.90 ,$92.00 ,$53.90 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,015,1,,,$156.00 ,$33.40 ,$26.60 ,$60.00 ,$26.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,018,1,,,$123.00 ,$26.80 ,$31.20 ,$58.00 ,$31.20 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,026,1,,,$28.00 ,$29.80 ,$3.20 ,$33.00 ,$3.20 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,1,,,$8.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,1,,,$58.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Suffolk,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Suffolk,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Suffolk,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Suffolk,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Massachusetts,Suffolk,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Senior Whole Health Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H2879,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.0,3.0,3.0
Massachusetts,Suffolk,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Suffolk,Humana,Local CCP,HumanaChoice H5216-249 (PPO),Local PPO,No,,Enhanced Alternative,H5216,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Suffolk,Humana,Local CCP,HumanaChoice H5216-250 (PPO),Local PPO,No,,Enhanced Alternative,H5216,250,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,159,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,447,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,451,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Suffolk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Suffolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Suffolk,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Suffolk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Massachusetts,Suffolk,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Suffolk,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,18,,,$54.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Suffolk,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,18,,,$150.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Suffolk,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Suffolk,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Suffolk,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Suffolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Suffolk,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Suffolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Suffolk,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Suffolk,WellSense Health Plan,Local CCP,WellSense Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9585,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Massachusetts,Suffolk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Suffolk,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Suffolk,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Suffolk,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Suffolk,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Suffolk,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Worcester,Commonwealth Care Alliance Massachusetts,Demo,CCA One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0137,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Worcester,eternalHealth,Local CCP,eternalHealth Forever (HMO),HMO,No,,Enhanced Alternative,H1280,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,eternalHealth,Local CCP,eternalHealth ForeverMore (HMO),HMO,No,,Enhanced Alternative,H1280,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$170.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Worcester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,006,0,,,$5.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Massachusetts,Worcester,Senior Whole Health,Local CCP,Senior Whole Health (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,001,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Worcester,Senior Whole Health,Local CCP,Senior Whole Health NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2224,003,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.5,5.0,3.5
Massachusetts,Worcester,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H2225,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Massachusetts,Worcester,UnitedHealthcare,Local CCP,UHC Senior Care Options MA-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Worcester,UnitedHealthcare,Local CCP,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2226,003,0,,Yes,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,002,0,,,$176.40 ,$61.60 ,$0.00 ,$61.60 ,$18.10 ,$200.00 ,1,,,3.5,3.5,3.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue SaverRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare PPO Blue ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H2230,018,2,,,$48.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Prime Rx (HMO),HMO,No,,Enhanced Alternative,H2256,033,0,,,$152.00 ,$33.40 ,$10.60 ,$44.00 ,$10.60 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Value Rx (HMO),HMO,No,,Enhanced Alternative,H2256,034,0,,,$112.00 ,$22.60 ,$31.40 ,$54.00 ,$31.40 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Basic Rx (HMO),HMO,No,,Enhanced Alternative,H2256,036,0,,,$20.00 ,$10.90 ,$12.10 ,$23.00 ,$12.10 ,$225.00 ,1,,Yes,4.5,3.5,4.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred HMO Smart Saver Rx (HMO),HMO,No,,Enhanced Alternative,H2256,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue PlusRx (HMO),HMO,No,,Enhanced Alternative,H2261,005,0,,,$177.50 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$200.00 ,1,,,4.0,3.5,3.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue ValueRx (HMO),HMO,No,,Enhanced Alternative,H2261,022,2,,,$27.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$320.00 ,1,,,4.0,3.5,3.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue FlexRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2261,023,2,,,$78.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$260.00 ,1,,,4.0,3.5,3.5
Massachusetts,Worcester,Blue Cross Blue Shield of Massachusetts,Local CCP,Medicare HMO Blue SaverRx (HMO),HMO,No,,Enhanced Alternative,H2261,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,3.5
Massachusetts,Worcester,eternalHealth,Local CCP,eternalHealth Freedom (PPO),Local PPO,No,,Enhanced Alternative,H2694,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$185.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,eternalHealth,Local CCP,eternalHealth Give Back (PPO),Local PPO,No,,Enhanced Alternative,H2694,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Worcester,Humana,Local CCP,HumanaChoice H5216-249 (PPO),Local PPO,No,,Enhanced Alternative,H5216,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Worcester,Humana,Local CCP,HumanaChoice H5216-250 (PPO),Local PPO,No,,Enhanced Alternative,H5216,250,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
Massachusetts,Worcester,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Worcester,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,448,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Massachusetts,Worcester,Aetna Medicare,Local CCP,Aetna Medicare Discover Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,450,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Massachusetts,Worcester,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Massachusetts,Worcester,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6193,001,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$400.00 ,1,,,Not enough data available,2.5,Not enough data available
Massachusetts,Worcester,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6847,001,0,,,$0.00 ,$52.00 ,$0.00 ,$52.00 ,$8.50 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Worcester,Tufts Health Plan,Demo,Tufts Health One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7419,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Worcester,Mass Advantage,Local CCP,Mass Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H7670,001,0,,,$0.00 ,($20.00),$20.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,Mass Advantage,Local CCP,Mass Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H7670,002,0,,,$69.40 ,($19.60),$50.20 ,$30.60 ,$30.60 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,001,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Health Plan Senior Care Options CW (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8330,002,0,,Yes,$0.00 ,$24.40 ,$0.00 ,$24.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Massachusetts,Worcester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Massachusetts,Worcester,Fallon Health,Local CCP,NaviCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8928,001,0,,Yes,$1.90 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Green (HMO),HMO,No,,Enhanced Alternative,H9001,030,15,,,$75.80 ,$23.20 ,$0.00 ,$23.20 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Blue (HMO),HMO,No,,Enhanced Alternative,H9001,031,15,,,$183.60 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Central Blue (HMO),HMO,No,,Enhanced Alternative,H9001,035,0,,,$100.10 ,$22.90 ,$0.00 ,$22.90 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Central Green (HMO),HMO,No,,Enhanced Alternative,H9001,036,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$175.00 ,1,,,4.5,4.0,4.5
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Orange (HMO),HMO,No,,Enhanced Alternative,H9001,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Massachusetts,Worcester,Fallon Health,Local CCP,Fallon Medicare Plus Super Saver (HMO),HMO,No,,Enhanced Alternative,H9001,040,0,,,$25.10 ,$34.90 ,$0.00 ,$34.90 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Massachusetts,Worcester,UnitedHealthcare,Demo,UnitedHealthcare Connected� for One Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9239,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Massachusetts,Worcester,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9414,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.0,Not enough data available
Massachusetts,Worcester,Commonwealth Care Alliance Massachusetts,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9414,002,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,2.0,Not enough data available
Massachusetts,Worcester,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage (PPO),Local PPO,No,,Enhanced Alternative,H9485,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Worcester,Mass General Brigham Health Plan,Local CCP,Mass General Brigham Advantage Premier (PPO),Local PPO,No,,Enhanced Alternative,H9485,002,0,,,$73.70 ,$66.30 ,$0.00 ,$66.30 ,$22.80 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Worcester,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Massachusetts,Worcester,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,002,0,,,$0.00 ,($1.50),$1.50 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Massachusetts,Worcester,Wellcare,Local CCP,Wellcare Premium Enhanced Open (PPO),Local PPO,No,,Enhanced Alternative,H9761,004,0,,,$71.10 ,$3.90 ,$0.00 ,$3.90 ,$0.00 ,$0.00 ,,,,2.5,2.5,2.5
Massachusetts,Worcester,Mass Advantage,Local CCP,Mass Advantage Premiere (PPO),Local PPO,No,,Enhanced Alternative,H9904,001,0,,,$0.00 ,($9.60),$9.60 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
Massachusetts,Worcester,Tufts Health Plan,Local CCP,Tufts Medicare Preferred Access Rx (PPO),Local PPO,No,,Enhanced Alternative,H9907,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Worcester,Longevity Health Plan of Massachusetts,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9940,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Massachusetts,Worcester,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Michigan,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,084,0,Yes,Yes,,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Michigan,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,148,0,Yes,,,($18.40),$18.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Michigan,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,216,0,Yes,,,$30.80 ,$48.10 ,$78.90 ,$48.10 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Michigan,(All Counties),Blue Cross Blue Shield of Michigan,PDP,Prescription Blue Select (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5584,001,0,,,,$96.00 ,$0.00 ,$96.00 ,$60.10 ,$545.00 ,1,,,Not Applicable,4.5,Not Applicable
Michigan,(All Counties),Blue Cross Blue Shield of Michigan,PDP,Prescription Blue Premium (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5584,002,0,,,,$66.00 ,$51.40 ,$117.40 ,$81.50 ,$0.00 ,,,,Not Applicable,4.5,Not Applicable
Michigan,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,026,0,Yes,,,$40.40 ,$0.00 ,$40.40 ,$4.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,027,0,Yes,,,$26.40 ,$59.50 ,$85.90 ,$59.50 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,188,0,Yes,,,$2.50 ,$2.80 ,$5.30 ,$2.80 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,221,0,Yes,Yes,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,258,0,Yes,,,$56.70 ,$13.30 ,$70.00 ,$34.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,363,0,Yes,,,($2.90),$18.00 ,$15.10 ,$15.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,012,0,Yes,,,$64.00 ,$33.10 ,$97.10 ,$61.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Michigan,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,136,0,Yes,,,$38.30 ,$0.00 ,$38.30 ,$2.40 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Michigan,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,159,0,Yes,,,$70.50 ,$25.40 ,$95.90 ,$60.00 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Michigan,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,192,0,Yes,,,$29.70 ,$5.40 ,$35.10 ,$5.40 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Michigan,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,358,0,Yes,Yes,,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,394,0,Yes,,,$44.00 ,$7.40 ,$51.40 ,$15.50 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Michigan,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,012,0,,Yes,,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Michigan,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,082,0,,,,$61.20 ,$13.80 ,$75.00 ,$39.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Michigan,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,115,0,,,,($3.50),$26.70 ,$23.20 ,$23.20 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Michigan,Alcona,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Alcona,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alcona,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Alcona,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Alcona,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alcona,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alcona,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alcona,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Alcona,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Alcona,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alcona,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alcona,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alcona,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Alcona,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Alcona,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Alcona,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Alcona,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alcona,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alcona,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alcona,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Alcona,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Alcona,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Alcona,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alger,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Alger,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alger,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alger,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Alger,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Alger,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Allegan,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Allegan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Allegan,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Allegan,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,1,,,$36.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,1,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Allegan,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Allegan,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Allegan,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Allegan,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,4,,,$12.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,1,,,$103.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Allegan,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Allegan,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Allegan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Allegan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Allegan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Allegan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Allegan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Allegan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Allegan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Allegan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Allegan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Allegan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Allegan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Allegan,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Allegan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Allegan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Allegan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Allegan,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Allegan,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Allegan,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Allegan,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Allegan,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Allegan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Allegan,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alpena,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Alpena,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alpena,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Alpena,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Alpena,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Alpena,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alpena,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Alpena,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Alpena,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Alpena,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alpena,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alpena,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Alpena,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Alpena,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Alpena,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Alpena,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Alpena,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alpena,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alpena,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Alpena,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Alpena,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Alpena,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Alpena,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Antrim,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Antrim,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Antrim,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Antrim,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Antrim,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Antrim,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Antrim,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Antrim,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Antrim,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Antrim,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Antrim,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Antrim,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Antrim,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Antrim,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Antrim,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Antrim,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Antrim,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Antrim,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Antrim,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Antrim,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Antrim,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Antrim,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Antrim,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Antrim,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Antrim,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Antrim,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Arenac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Arenac,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Arenac,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Arenac,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Arenac,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Arenac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Arenac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Arenac,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Arenac,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Arenac,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Arenac,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Arenac,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Arenac,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Arenac,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Arenac,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Arenac,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Arenac,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Arenac,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Arenac,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Arenac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Arenac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Arenac,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Arenac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Arenac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Arenac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Arenac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Arenac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Arenac,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Arenac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Arenac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Arenac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Arenac,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Arenac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Arenac,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Baraga,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Baraga,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Baraga,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Baraga,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Baraga,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Baraga,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Barry,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Barry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Barry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,1,,,$36.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,1,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Barry,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Barry,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Barry,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Barry,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,4,,,$12.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,1,,,$103.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Barry,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Barry,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Barry,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Barry,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Barry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Barry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Barry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Barry,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Barry,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Barry,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Barry,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Barry,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Barry,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Barry,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Barry,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Barry,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Barry,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Barry,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Barry,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Barry,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Barry,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Bay,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Bay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Bay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,025,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Bay,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Bay,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Bay,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Bay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Bay,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Bay,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Bay,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Bay,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Bay,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Bay,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Bay,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Bay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Bay,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Bay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Bay,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Bay,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Bay,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Bay,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Bay,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Bay,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Bay,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Bay,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Bay,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Bay,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Bay,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Bay,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Bay,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Bay,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Bay,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Bay,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Bay,PHP Medicare,Local CCP,Covenant Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Bay,PHP Medicare,Local CCP,Covenant Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,005,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Bay,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Bay,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Bay,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Benzie,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Benzie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Benzie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Benzie,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Benzie,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Benzie,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Benzie,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Benzie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Benzie,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Benzie,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Benzie,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Benzie,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Benzie,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Benzie,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Benzie,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Benzie,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Benzie,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Benzie,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Benzie,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Benzie,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Benzie,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Benzie,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Benzie,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Benzie,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Benzie,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Berrien,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Berrien,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Berrien,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Berrien,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Berrien,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Berrien,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Berrien,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Berrien,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Berrien,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Berrien,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Berrien,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Berrien,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Berrien,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Berrien,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Berrien,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Berrien,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Berrien,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Berrien,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Berrien,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Berrien,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Berrien,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Branch,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Branch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Branch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Branch,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Branch,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Branch,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Branch,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Branch,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Branch,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Branch,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Branch,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Branch,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Branch,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Branch,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Branch,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Branch,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Branch,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Branch,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Branch,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Branch,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Branch,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Branch,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Branch,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Branch,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Branch,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Branch,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Branch,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Branch,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Branch,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Branch,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Branch,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Branch,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Branch,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Branch,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Branch,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Branch,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Branch,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Branch,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Branch,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Branch,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Calhoun,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Calhoun,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Calhoun,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Calhoun,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Calhoun,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Calhoun,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Calhoun,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Calhoun,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Calhoun,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Calhoun,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Calhoun,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Calhoun,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Calhoun,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Calhoun,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Calhoun,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Calhoun,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Calhoun,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Calhoun,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Calhoun,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Calhoun,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Calhoun,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Calhoun,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Calhoun,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Calhoun,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Calhoun,PHP Medicare,Local CCP,University of Michigan Health Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,PHP Medicare,Local CCP,University of Michigan Health Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,008,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Calhoun,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Calhoun,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Calhoun,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Calhoun,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Calhoun,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Cass,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Cass,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Cass,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Cass,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Cass,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Cass,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Cass,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Cass,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Cass,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Cass,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Cass,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Cass,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Cass,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cass,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cass,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cass,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Cass,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Cass,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Cass,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Cass,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Cass,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Charlevoix,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Charlevoix,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Charlevoix,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Charlevoix,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Charlevoix,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Charlevoix,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Charlevoix,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Charlevoix,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Charlevoix,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Charlevoix,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Charlevoix,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Charlevoix,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Charlevoix,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Charlevoix,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Charlevoix,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Charlevoix,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Charlevoix,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Charlevoix,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Charlevoix,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Charlevoix,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Charlevoix,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Charlevoix,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Charlevoix,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Cheboygan,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Cheboygan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Cheboygan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Cheboygan,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Cheboygan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Cheboygan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Cheboygan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Cheboygan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Cheboygan,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Cheboygan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Cheboygan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Cheboygan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Cheboygan,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Cheboygan,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cheboygan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cheboygan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Cheboygan,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Cheboygan,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Cheboygan,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Cheboygan,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Chippewa,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Chippewa,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Chippewa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Chippewa,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Chippewa,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Chippewa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Chippewa,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Clare,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Clare,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Clare,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Clare,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clare,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clare,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clare,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clare,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clare,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Clare,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Clare,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Clare,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Clare,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clare,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clare,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clare,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Clare,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Clare,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Clare,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Clare,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clare,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clare,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clare,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Clare,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Clare,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Clare,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Clinton,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clinton,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clinton,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clinton,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clinton,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Clinton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clinton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clinton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Clinton,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clinton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clinton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Clinton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Clinton,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Clinton,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Clinton,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Clinton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Clinton,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Crawford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Crawford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Crawford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Crawford,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Crawford,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Crawford,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Crawford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Crawford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Crawford,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Crawford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Crawford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Crawford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Crawford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Crawford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Crawford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Crawford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Crawford,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Crawford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Crawford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Crawford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Crawford,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Crawford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Crawford,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Delta,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Delta,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Delta,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Delta,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Delta,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Delta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Delta,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Dickinson,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Dickinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Dickinson,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Dickinson,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Dickinson,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Dickinson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Dickinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Dickinson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Dickinson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Dickinson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Dickinson,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Eaton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Eaton,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Eaton,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Eaton,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Eaton,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Eaton,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Eaton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Eaton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Eaton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Eaton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Eaton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Eaton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Eaton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Eaton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Eaton,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Eaton,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Eaton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Eaton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Eaton,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Eaton,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Eaton,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Eaton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Eaton,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Eaton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Eaton,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Emmet,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Emmet,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Emmet,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Emmet,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Emmet,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Emmet,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Emmet,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Emmet,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Emmet,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Emmet,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Emmet,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Emmet,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Emmet,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Emmet,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Emmet,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Emmet,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Emmet,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Emmet,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Emmet,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Emmet,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Genesee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Genesee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Genesee,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Genesee,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Genesee,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Genesee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Genesee,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Genesee,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Genesee,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Genesee,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Genesee,HAP Senior Plus,Local CCP,HAP Medicare Complete Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2354,025,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Michigan,Genesee,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Genesee,Zing Health,Local CCP,Zing Select Care MI (HMO),HMO,No,,Enhanced Alternative,H4624,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Genesee,Zing Health,Local CCP,Zing Select Diabetes & Heart MI (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Genesee,Zing Health,Local CCP,Zing Dual Complete Select MI (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,019,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Genesee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Genesee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Genesee,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Genesee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Genesee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Genesee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Genesee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Genesee,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Genesee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,1,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Genesee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Genesee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Genesee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Genesee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Genesee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Genesee,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Genesee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Genesee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Genesee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Genesee,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Genesee,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Genesee,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Genesee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Genesee,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Genesee,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Genesee,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Genesee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Genesee,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Genesee,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,Genesee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gladwin,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Gladwin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Gladwin,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gladwin,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Gladwin,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gladwin,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gladwin,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gladwin,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gladwin,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gladwin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gladwin,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Gladwin,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gladwin,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gladwin,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Gladwin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Gladwin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Gladwin,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gladwin,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gladwin,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gladwin,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Gladwin,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Gladwin,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Gladwin,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Gladwin,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gladwin,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gladwin,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gladwin,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Gladwin,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Gladwin,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Gladwin,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gogebic,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Gogebic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gogebic,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Gogebic,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gogebic,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gogebic,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gogebic,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Gogebic,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Gogebic,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Grand Traverse,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Grand Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Grand Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Grand Traverse,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Grand Traverse,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Grand Traverse,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Grand Traverse,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Grand Traverse,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Grand Traverse,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Grand Traverse,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Grand Traverse,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Grand Traverse,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Grand Traverse,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Grand Traverse,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Grand Traverse,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Grand Traverse,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Grand Traverse,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Grand Traverse,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Grand Traverse,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Grand Traverse,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Grand Traverse,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Grand Traverse,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Grand Traverse,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Grand Traverse,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Grand Traverse,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gratiot,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Gratiot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gratiot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,025,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gratiot,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Gratiot,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Gratiot,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gratiot,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Gratiot,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gratiot,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gratiot,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gratiot,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gratiot,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Gratiot,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gratiot,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Gratiot,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Gratiot,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Gratiot,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Gratiot,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Gratiot,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Gratiot,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Gratiot,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Gratiot,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gratiot,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gratiot,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Gratiot,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Gratiot,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Gratiot,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Gratiot,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Gratiot,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gratiot,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gratiot,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Gratiot,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Gratiot,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Gratiot,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Gratiot,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Gratiot,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Gratiot,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Hillsdale,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Hillsdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Hillsdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Hillsdale,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Hillsdale,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Hillsdale,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Hillsdale,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Hillsdale,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Hillsdale,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Hillsdale,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Hillsdale,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Hillsdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Hillsdale,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Hillsdale,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Hillsdale,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Hillsdale,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Hillsdale,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Hillsdale,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Hillsdale,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Hillsdale,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Hillsdale,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Hillsdale,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Hillsdale,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Hillsdale,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Hillsdale,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Hillsdale,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Hillsdale,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Hillsdale,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Hillsdale,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Houghton,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Houghton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Houghton,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Houghton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Houghton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Houghton,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Houghton,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Huron,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Huron,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Huron,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Huron,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Huron,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Huron,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Huron,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Huron,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Huron,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Huron,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Huron,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Huron,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Huron,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Huron,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Huron,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Huron,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Huron,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Huron,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Huron,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Huron,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Huron,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Huron,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Huron,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Huron,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Huron,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Huron,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Huron,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Huron,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Huron,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Huron,PHP Medicare,Local CCP,Covenant Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Huron,PHP Medicare,Local CCP,Covenant Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,005,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Huron,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Huron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Huron,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Ingham,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Ingham,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ingham,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ingham,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ingham,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ingham,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ingham,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ingham,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Ingham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Ingham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Ingham,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ingham,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ingham,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ingham,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ingham,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ingham,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ingham,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Ingham,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Ingham,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ingham,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ingham,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ingham,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ingham,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ingham,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Ingham,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Ingham,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Ionia,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ionia,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ionia,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ionia,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ionia,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Ionia,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ionia,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ionia,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ionia,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ionia,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ionia,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ionia,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ionia,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ionia,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Ionia,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Ionia,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ionia,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ionia,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Ionia,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Ionia,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iosco,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Iosco,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Iosco,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Iosco,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Iosco,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Iosco,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iosco,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Iosco,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Iosco,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Iosco,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Iosco,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Iosco,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Iosco,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Iosco,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Iosco,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Iosco,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Iosco,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Iosco,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Iosco,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Iosco,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Iosco,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Iosco,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Iosco,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Iosco,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Iosco,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Iosco,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Iosco,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Iosco,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Iosco,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Iosco,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Iosco,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Iosco,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Iosco,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Iosco,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Iosco,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Iron,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Iron,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Iron,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Iron,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Iron,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Iron,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Isabella,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Isabella,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Isabella,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Isabella,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Isabella,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Isabella,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Isabella,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Isabella,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Isabella,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Isabella,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Isabella,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Isabella,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Isabella,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Isabella,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Isabella,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Isabella,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Isabella,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Isabella,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Isabella,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Isabella,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Isabella,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Jackson,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Jackson,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Jackson,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Jackson,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Jackson,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Jackson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Jackson,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Jackson,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Jackson,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Jackson,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Jackson,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Jackson,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Jackson,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Jackson,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Jackson,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Jackson,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Jackson,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Jackson,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Jackson,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Jackson,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Jackson,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Jackson,PHP Medicare,Local CCP,University of Michigan Health Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Jackson,PHP Medicare,Local CCP,University of Michigan Health Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,008,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Jackson,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Jackson,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Jackson,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalamazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Kalamazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kalamazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kalamazoo,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Kalamazoo,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Kalamazoo,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Kalamazoo,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Kalamazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalamazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Kalamazoo,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Kalamazoo,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Kalamazoo,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kalamazoo,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kalamazoo,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kalamazoo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Kalamazoo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalamazoo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalamazoo,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalamazoo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalamazoo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kalamazoo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kalamazoo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Kalamazoo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Kalamazoo,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalamazoo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalamazoo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalamazoo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Kalamazoo,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Kalamazoo,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kalamazoo,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kalamazoo,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kalamazoo,PHP Medicare,Local CCP,University of Michigan Health Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,PHP Medicare,Local CCP,University of Michigan Health Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,008,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kalamazoo,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Kalamazoo,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Kalamazoo,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Kalamazoo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Kalamazoo,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalkaska,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Kalkaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kalkaska,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Kalkaska,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalkaska,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Kalkaska,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Kalkaska,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kalkaska,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kalkaska,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Kalkaska,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kalkaska,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kalkaska,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kalkaska,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalkaska,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalkaska,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kalkaska,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kalkaska,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kalkaska,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Kalkaska,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Kalkaska,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalkaska,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalkaska,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kalkaska,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Kalkaska,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Kalkaska,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Kalkaska,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Kalkaska,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Kent,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Kent,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,1,,,$36.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,1,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare ONE (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Kent,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kent,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kent,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Kent,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,4,,,$12.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,1,,,$103.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kent,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Kent,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kent,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kent,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Kent,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Kent,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Kent,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Kent,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kent,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Kent,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Kent,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kent,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kent,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Kent,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kent,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Kent,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Kent,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Kent,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kent,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kent,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Kent,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Kent,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kent,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kent,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Kent,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Kent,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Kent,Humana,Local CCP,Humana Gold Plus H8908-002 (HMO),HMO,No,,Enhanced Alternative,H8908,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Michigan,Kent,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Kent,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Kent,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Kent,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Keweenaw,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Keweenaw,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Keweenaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Keweenaw,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Keweenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Keweenaw,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lake,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Lake,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Lake,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lake,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lake,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Lake,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Lake,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Lake,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Lake,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Lake,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Lake,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Lake,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lake,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Lake,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lake,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lake,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lake,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lake,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lake,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Lake,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Lake,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lake,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lake,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lake,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Lake,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Lake,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Lake,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lapeer,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Lapeer,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Lapeer,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Lapeer,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Lapeer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Lapeer,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lapeer,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Lapeer,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lapeer,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lapeer,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lapeer,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lapeer,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lapeer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lapeer,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Lapeer,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Lapeer,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Lapeer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Lapeer,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lapeer,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lapeer,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lapeer,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lapeer,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lapeer,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Lapeer,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Lapeer,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lapeer,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lapeer,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Lapeer,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Lapeer,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Lapeer,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lapeer,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lapeer,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Lapeer,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Lapeer,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Lapeer,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,Lapeer,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Leelanau,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Leelanau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Leelanau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Leelanau,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Leelanau,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Leelanau,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Leelanau,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Leelanau,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Leelanau,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Leelanau,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Leelanau,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Leelanau,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Leelanau,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Leelanau,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Leelanau,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Leelanau,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Leelanau,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Leelanau,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Leelanau,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Leelanau,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Leelanau,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Leelanau,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Leelanau,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Leelanau,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Leelanau,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,1,,,$36.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,1,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Lenawee,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lenawee,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lenawee,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lenawee,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lenawee,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Lenawee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Lenawee,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Lenawee,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Lenawee,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,4,,,$12.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,1,,,$103.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Lenawee,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Lenawee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lenawee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Lenawee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Lenawee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Lenawee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lenawee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lenawee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Lenawee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lenawee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Lenawee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Lenawee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Lenawee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Lenawee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Lenawee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Lenawee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Livingston,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Livingston,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Livingston,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Livingston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Livingston,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Livingston,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Livingston,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Livingston,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Livingston,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Livingston,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Livingston,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Livingston,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Livingston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Livingston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Livingston,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Livingston,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Livingston,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Livingston,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,1,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Livingston,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Livingston,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Livingston,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Livingston,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Livingston,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Livingston,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Livingston,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Livingston,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Livingston,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Livingston,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Livingston,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Livingston,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Livingston,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Livingston,PHP Medicare,Local CCP,University of Michigan Health Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Livingston,PHP Medicare,Local CCP,University of Michigan Health Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,008,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Livingston,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Livingston,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Livingston,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Livingston,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Livingston,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Livingston,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Livingston,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Luce,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Luce,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Luce,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Luce,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Luce,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Luce,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Luce,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Luce,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Luce,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mackinac,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Mackinac,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mackinac,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mackinac,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Mackinac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mackinac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mackinac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Mackinac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Mackinac,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Macomb,AmeriHealth Caritas VIP Care Plus,Demo,AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0192,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Macomb,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Macomb,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Macomb,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Macomb,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Macomb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare ONE (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Macomb,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Macomb,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Macomb,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Macomb,HAP Senior Plus,Local CCP,HAP Senior Plus Henry Ford Tiered Access (HMO),HMO,No,,Enhanced Alternative,H2354,018,0,,,$52.80 ,$42.20 ,$0.00 ,$42.20 ,$6.30 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Macomb,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Macomb,HAP Senior Plus,Local CCP,HAP Medicare Complete Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2354,025,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Michigan,Macomb,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice H5216-133 (PPO),Local PPO,No,,Enhanced Alternative,H5216,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice H5216-287 (PPO),Local PPO,No,,Enhanced Alternative,H5216,287,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Macomb,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Macomb,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Macomb,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Macomb,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,7,,,$81.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,5,,,$212.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,2,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Macomb,Blue Care Network,Local CCP,BCN Advantage Local (HMO),HMO,No,,Enhanced Alternative,H5883,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Macomb,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Macomb,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Macomb,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Macomb,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Macomb,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Macomb,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Macomb,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Macomb,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Macomb,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Macomb,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Macomb,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Macomb,Molina Healthcare of Michigan,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7844,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Macomb,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Macomb,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Macomb,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Macomb,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Macomb,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,6,,,$93.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,6,,,$43.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,6,,,$228.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Macomb,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Macomb,HAP CareSource MI Health Link,Demo,HAP Empowered MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9712,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Macomb,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Macomb,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,Macomb,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Manistee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Manistee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Manistee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Manistee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Manistee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Manistee,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Manistee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Manistee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Manistee,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Manistee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Manistee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Manistee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Manistee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Manistee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Manistee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Manistee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Manistee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Manistee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Manistee,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Manistee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Manistee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Manistee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Manistee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Manistee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Manistee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Marquette,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Marquette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Marquette,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Marquette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Marquette,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Marquette,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Marquette,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Mason,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mason,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mason,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Mason,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Mason,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mason,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mason,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mason,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mason,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mason,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Mason,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Mason,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Mason,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Mason,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mecosta,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Mecosta,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Mecosta,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mecosta,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Mecosta,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mecosta,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mecosta,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Mecosta,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Mecosta,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mecosta,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Mecosta,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Mecosta,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Mecosta,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mecosta,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mecosta,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Mecosta,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Mecosta,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Mecosta,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Mecosta,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Mecosta,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Mecosta,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Mecosta,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Mecosta,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Mecosta,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Mecosta,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Mecosta,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Menominee,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Menominee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Menominee,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Menominee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Menominee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Menominee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Menominee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Midland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Midland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Midland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Midland,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Midland,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Midland,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Midland,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Midland,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Midland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Midland,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Midland,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Midland,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Midland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Midland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Midland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Midland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Midland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Midland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Midland,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Midland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Midland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Midland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Midland,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Midland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Midland,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Missaukee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Missaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Missaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Missaukee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Missaukee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Missaukee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Missaukee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Missaukee,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Missaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Missaukee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Missaukee,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Missaukee,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Missaukee,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Missaukee,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Missaukee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Missaukee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Missaukee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Missaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Missaukee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Missaukee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Missaukee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Missaukee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Missaukee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Missaukee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Missaukee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Missaukee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Missaukee,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Missaukee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Missaukee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Missaukee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Missaukee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Missaukee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Missaukee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,3,,,$75.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,3,,,$40.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Monroe,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Monroe,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Monroe,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Monroe,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Monroe,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Monroe,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Monroe,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Monroe,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,1,,,$56.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,3,,,$152.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,3,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Monroe,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Monroe,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Monroe,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Monroe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Monroe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Monroe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Monroe,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Monroe,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Monroe,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Monroe,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Monroe,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Monroe,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Monroe,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Monroe,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Monroe,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Monroe,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Monroe,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Monroe,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Monroe,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Monroe,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montcalm,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Montcalm,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Montcalm,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montcalm,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Montcalm,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Montcalm,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Montcalm,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Montcalm,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Montcalm,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Montcalm,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Montcalm,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Montcalm,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Montcalm,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Montcalm,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montcalm,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montcalm,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montcalm,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Montcalm,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Montcalm,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Montcalm,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Montcalm,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montcalm,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montcalm,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montcalm,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Montcalm,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Montcalm,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Montcalm,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Montcalm,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Montcalm,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Montcalm,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montmorency,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Montmorency,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montmorency,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Montmorency,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Montmorency,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Montmorency,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Montmorency,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Montmorency,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Montmorency,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Montmorency,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montmorency,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montmorency,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Montmorency,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Montmorency,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Montmorency,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Montmorency,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Montmorency,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montmorency,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montmorency,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Montmorency,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Montmorency,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Montmorency,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Montmorency,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Muskegon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Muskegon,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Muskegon,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Muskegon,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Muskegon,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Muskegon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Muskegon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Muskegon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Muskegon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Muskegon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Muskegon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Muskegon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Muskegon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Muskegon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Muskegon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Muskegon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Muskegon,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Muskegon,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Muskegon,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Muskegon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Muskegon,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Muskegon,Humana,Local CCP,Humana Gold Plus H8908-002 (HMO),HMO,No,,Enhanced Alternative,H8908,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Michigan,Muskegon,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Muskegon,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Muskegon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Muskegon,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Newaygo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Newaygo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Newaygo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Newaygo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Newaygo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Newaygo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Newaygo,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Newaygo,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Newaygo,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Newaygo,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Newaygo,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Newaygo,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Newaygo,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Newaygo,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Newaygo,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Newaygo,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Newaygo,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Newaygo,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Newaygo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Newaygo,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Newaygo,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Newaygo,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Newaygo,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Newaygo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Newaygo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Newaygo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Newaygo,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Newaygo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Newaygo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Newaygo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Newaygo,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Newaygo,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Newaygo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Newaygo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Newaygo,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Newaygo,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Newaygo,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Newaygo,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Newaygo,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Newaygo,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Newaygo,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oakland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Oakland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oakland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oakland,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Oakland,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Oakland,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Oakland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Oakland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oakland,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare ONE (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oakland,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oakland,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oakland,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oakland,HAP Senior Plus,Local CCP,HAP Senior Plus Henry Ford Tiered Access (HMO),HMO,No,,Enhanced Alternative,H2354,018,0,,,$52.80 ,$42.20 ,$0.00 ,$42.20 ,$6.30 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oakland,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oakland,HAP Senior Plus,Local CCP,HAP Medicare Complete Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2354,025,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Michigan,Oakland,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Oakland,Zing Health,Local CCP,Zing Select Care MI (HMO),HMO,No,,Enhanced Alternative,H4624,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Oakland,Zing Health,Local CCP,Zing Select Diabetes & Heart MI (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Oakland,Zing Health,Local CCP,Zing Dual Complete Select MI (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,019,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Michigan,Oakland,Zing Health,Local CCP,Zing ESRD Select MI (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,023,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice H5216-133 (PPO),Local PPO,No,,Enhanced Alternative,H5216,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice H5216-287 (PPO),Local PPO,No,,Enhanced Alternative,H5216,287,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oakland,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Oakland,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Oakland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Oakland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Oakland,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Michigan,Oakland,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Michigan,Oakland,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Michigan,Oakland,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Michigan,Oakland,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,7,,,$81.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,5,,,$212.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,2,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oakland,Blue Care Network,Local CCP,BCN Advantage Local (HMO),HMO,No,,Enhanced Alternative,H5883,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Oakland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oakland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oakland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Oakland,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Oakland,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oakland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oakland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oakland,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Oakland,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Oakland,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Oakland,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Oakland,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Oakland,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oakland,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oakland,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,6,,,$93.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,6,,,$43.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,6,,,$228.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Oakland,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Oakland,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Oakland,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,Oakland,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oceana,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Oceana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H0294,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oceana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,020,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oceana,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Oceana,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Oceana,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oceana,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Oceana,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oceana,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oceana,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oceana,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Oceana,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Oceana,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oceana,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oceana,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oceana,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Oceana,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Oceana,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oceana,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oceana,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oceana,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Oceana,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oceana,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oceana,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oceana,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oceana,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oceana,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Oceana,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Oceana,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Oceana,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Oceana,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Oceana,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Oceana,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ogemaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Ogemaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ogemaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Ogemaw,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ogemaw,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ogemaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ogemaw,Aetna Medicare,Local CCP,Aetna Medicare MyMichigan Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ogemaw,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ogemaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Ogemaw,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ogemaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ogemaw,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ogemaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ogemaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ogemaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ogemaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Ogemaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Ogemaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Ogemaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Ogemaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ogemaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ogemaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ogemaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ogemaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Ogemaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Ogemaw,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ontonagon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Ontonagon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Ontonagon,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Ontonagon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ontonagon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ontonagon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ontonagon,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ontonagon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Ontonagon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Ontonagon,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Osceola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Osceola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Osceola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Osceola,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Osceola,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Osceola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Osceola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Osceola,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Osceola,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Osceola,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Osceola,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Osceola,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Osceola,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Osceola,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Osceola,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Osceola,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Osceola,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Osceola,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Osceola,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Osceola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Osceola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Osceola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Osceola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Osceola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Osceola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Osceola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Osceola,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Osceola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Osceola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Osceola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Osceola,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Osceola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Osceola,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oscoda,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Oscoda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oscoda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oscoda,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Oscoda,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Oscoda,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oscoda,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Oscoda,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Oscoda,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Oscoda,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Oscoda,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Oscoda,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oscoda,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oscoda,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Oscoda,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Oscoda,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Oscoda,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Oscoda,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oscoda,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Oscoda,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oscoda,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oscoda,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Oscoda,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oscoda,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Oscoda,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Oscoda,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Oscoda,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oscoda,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oscoda,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Oscoda,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Oscoda,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Oscoda,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Oscoda,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Otsego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Otsego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Otsego,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Otsego,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Otsego,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Otsego,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Otsego,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Otsego,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Otsego,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Otsego,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Otsego,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Otsego,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Otsego,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Otsego,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Otsego,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Otsego,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Otsego,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Otsego,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Otsego,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Otsego,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Otsego,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Otsego,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Otsego,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Otsego,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Otsego,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Otsego,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Ottawa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,1,,,$36.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,1,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare ONE (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Ottawa,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ottawa,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ottawa,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ottawa,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,4,,,$12.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,1,,,$103.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ottawa,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Ottawa,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Ottawa,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Ottawa,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,1,,,$32.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ottawa,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,1,,,$126.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ottawa,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Ottawa,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Ottawa,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Ottawa,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Ottawa,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Ottawa,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ottawa,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ottawa,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Ottawa,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Ottawa,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Ottawa,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Ottawa,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Ottawa,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Ottawa,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Ottawa,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Ottawa,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,1,,,$55.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,1,,,$6.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,1,,,$129.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Ottawa,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Ottawa,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Presque Isle,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Presque Isle,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Presque Isle,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Presque Isle,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Presque Isle,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Presque Isle,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Presque Isle,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Presque Isle,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Presque Isle,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Presque Isle,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Presque Isle,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Presque Isle,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Presque Isle,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Presque Isle,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Presque Isle,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Presque Isle,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Presque Isle,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Presque Isle,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Presque Isle,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Presque Isle,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Roscommon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Roscommon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Roscommon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Roscommon,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Roscommon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Roscommon,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Roscommon,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Roscommon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Roscommon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Roscommon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Roscommon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Roscommon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Roscommon,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Roscommon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Roscommon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Roscommon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Roscommon,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Roscommon,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Roscommon,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Roscommon,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Roscommon,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Roscommon,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Roscommon,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Roscommon,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Saginaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Saginaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Saginaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,025,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Saginaw,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Saginaw,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Saginaw,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Saginaw,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Saginaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Saginaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Saginaw,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Saginaw,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Saginaw,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Saginaw,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Saginaw,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Saginaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Saginaw,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Saginaw,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Saginaw,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Saginaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Saginaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Saginaw,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Saginaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Saginaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Saginaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Saginaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Saginaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Saginaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Saginaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Saginaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Saginaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Saginaw,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Saginaw,PHP Medicare,Local CCP,Covenant Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,PHP Medicare,Local CCP,Covenant Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,005,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Saginaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Saginaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Saginaw,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Sanilac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Sanilac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Sanilac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,025,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Sanilac,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Sanilac,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Sanilac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Sanilac,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Sanilac,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Sanilac,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Sanilac,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Sanilac,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Sanilac,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Sanilac,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Sanilac,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Sanilac,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Sanilac,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Sanilac,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Sanilac,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Sanilac,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Sanilac,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Sanilac,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Sanilac,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Sanilac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Sanilac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Sanilac,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Sanilac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Sanilac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Sanilac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Sanilac,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Sanilac,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Sanilac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Sanilac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Sanilac,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Sanilac,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Sanilac,PHP Medicare,Local CCP,Covenant Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Sanilac,PHP Medicare,Local CCP,Covenant Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,005,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Sanilac,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Sanilac,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Sanilac,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Sanilac,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Sanilac,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Schoolcraft,Upper Peninsula Health Plan (UPHP) MI Health Link,Demo,Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1977,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Schoolcraft,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Schoolcraft,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Schoolcraft,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,311,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Schoolcraft,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Schoolcraft,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Schoolcraft,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Schoolcraft,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Schoolcraft,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Shiawassee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Shiawassee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Shiawassee,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Shiawassee,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Shiawassee,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Shiawassee,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Shiawassee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Shiawassee,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Shiawassee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Shiawassee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Shiawassee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Shiawassee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Shiawassee,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Shiawassee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Shiawassee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Shiawassee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Shiawassee,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Shiawassee,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Shiawassee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Shiawassee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Shiawassee,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Shiawassee,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Shiawassee,PHP Medicare,Local CCP,Sparrow Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Shiawassee,PHP Medicare,Local CCP,Sparrow Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,004,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Shiawassee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Shiawassee,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Shiawassee,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Shiawassee,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,St. Clair,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,St. Clair,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,St. Clair,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,St. Clair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,St. Clair,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,St. Clair,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,St. Clair,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,St. Clair,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,St. Clair,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,St. Clair,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,St. Clair,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,St. Clair,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,St. Clair,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,St. Clair,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Clair,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Clair,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Clair,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,1,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,St. Clair,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Clair,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,St. Clair,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,St. Clair,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,St. Clair,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,St. Clair,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Clair,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Clair,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Clair,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,St. Clair,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,St. Clair,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,St. Clair,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,St. Clair,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,St. Clair,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,St. Clair,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,St. Clair,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,St. Clair,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,St. Joseph,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,St. Joseph,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,4,,,$65.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,4,,,$15.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,2,,,$70.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,4,,,$157.70 ,$53.80 ,$11.50 ,$65.30 ,$29.40 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,4,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare Compass (PPO),Local PPO,No,,Enhanced Alternative,H4875,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,St. Joseph,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,St. Joseph,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,194,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,219,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,St. Joseph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,407,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,St. Joseph,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Joseph,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Joseph,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,St. Joseph,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Joseph,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Joseph,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,St. Joseph,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,St. Joseph,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,St. Joseph,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,St. Joseph,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,St. Joseph,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,St. Joseph,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Tuscola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Tuscola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Tuscola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,025,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Tuscola,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Tuscola,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Tuscola,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Tuscola,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Tuscola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Tuscola,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Tuscola,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Tuscola,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Tuscola,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Tuscola,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Tuscola,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Tuscola,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Tuscola,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Tuscola,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Tuscola,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Tuscola,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Tuscola,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,288,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Tuscola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,3,,,$76.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Tuscola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,3,,,$185.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Tuscola,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Tuscola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Tuscola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Tuscola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Tuscola,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Tuscola,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Tuscola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Tuscola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Tuscola,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Tuscola,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Tuscola,PHP Medicare,Local CCP,Covenant Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Tuscola,PHP Medicare,Local CCP,Covenant Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,005,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Tuscola,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Tuscola,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Tuscola,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,3,,,$110.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,3,,,$51.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,3,,,$228.00 ,$54.30 ,$1.70 ,$56.00 ,$20.10 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Tuscola,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Tuscola,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Van Buren,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Van Buren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Van Buren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Van Buren,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Van Buren,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Van Buren,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Van Buren,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Van Buren,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Van Buren,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Van Buren,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Van Buren,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Van Buren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Van Buren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Van Buren,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Van Buren,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,2,,,$64.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Van Buren,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,2,,,$189.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Van Buren,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Van Buren,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Van Buren,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Van Buren,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Van Buren,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Van Buren,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Van Buren,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Van Buren,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,2,,,$77.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,2,,,$36.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,2,,,$191.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Van Buren,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Van Buren,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Washtenaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Washtenaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Washtenaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Washtenaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Washtenaw,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Washtenaw,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Washtenaw,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Washtenaw,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Washtenaw,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Washtenaw,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Washtenaw,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Washtenaw,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Washtenaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Washtenaw,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Washtenaw,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Washtenaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,7,,,$81.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Washtenaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,5,,,$212.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Washtenaw,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Washtenaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,2,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Washtenaw,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Washtenaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Washtenaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Washtenaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Washtenaw,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Washtenaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Washtenaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Washtenaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Washtenaw,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Washtenaw,PHP Medicare,Local CCP,PHP Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H6727,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Washtenaw,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Washtenaw,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Washtenaw,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Washtenaw,PHP Medicare,Local CCP,University of Michigan Health Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Washtenaw,PHP Medicare,Local CCP,University of Michigan Health Advantage Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7646,008,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Washtenaw,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Washtenaw,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Washtenaw,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Washtenaw,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Washtenaw,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan No Premium (HMO),HMO,No,,Enhanced Alternative,H9179,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Washtenaw,Trinity Health Plan of Michigan,Local CCP,Trinity Health Plan of Michigan Cash Back MAPD (HMO),HMO,No,,Enhanced Alternative,H9179,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,6,,,$93.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,6,,,$43.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,6,,,$228.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Washtenaw,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Washtenaw,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wayne,AmeriHealth Caritas VIP Care Plus,Demo,AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0192,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H0294,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,018,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wayne,MeridianComplete (Medicare-Medicaid Plan),Demo,MeridianComplete (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0480,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Wayne,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H0482,002,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Michigan,Wayne,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H0482,003,0,,,$0.00 ,($11.10),$11.10 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.5,3.0
Michigan,Wayne,Wellcare by Allwell,Local CCP,Wellcare Complete Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0482,005,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,5,,,$21.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,5,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare ONE (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Wayne,HAP Senior Plus (PPO),Local CCP,HAP Senior Plus (PPO),Local PPO,No,,Enhanced Alternative,H2322,008,0,,,$111.40 ,$53.60 ,$0.00 ,$53.60 ,$17.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Wayne,HAP Senior Plus (PPO),Local CCP,HAP Medicare Explore (PPO),Local PPO,No,,Enhanced Alternative,H2322,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Wayne,HAP Senior Plus,Local CCP,HAP Medicare Connect (HMO),HMO,No,,Enhanced Alternative,H2354,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Wayne,HAP Senior Plus,Local CCP,HAP Senior Plus Henry Ford Tiered Access (HMO),HMO,No,,Enhanced Alternative,H2354,018,0,,,$52.80 ,$42.20 ,$0.00 ,$42.20 ,$6.30 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Wayne,HAP Senior Plus,Local CCP,HAP Senior Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2354,021,0,,,$78.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Wayne,HAP Senior Plus,Local CCP,HAP Medicare Complete Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2354,025,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Michigan,Wayne,HAP Senior Plus,Local CCP,HAP MSUHC Medicare (HMO),HMO,No,,Enhanced Alternative,H2354,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Wayne,Zing Health,Local CCP,Zing Select Care MI (HMO),HMO,No,,Enhanced Alternative,H4624,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Wayne,Zing Health,Local CCP,Zing Select Diabetes & Heart MI (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Wayne,Zing Health,Local CCP,Zing Dual Complete Select MI (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4624,019,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Michigan,Wayne,Zing Health,Local CCP,Zing Elite Select MI (HMO),HMO,No,,Enhanced Alternative,H4624,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Wayne,Zing Health,Local CCP,Zing ESRD Select MI (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4624,023,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,3,,,$47.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,5,,,$158.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,5,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare Thrive (PPO),Local PPO,No,,Enhanced Alternative,H4875,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice H5216-011 (PPO),Local PPO,No,,Enhanced Alternative,H5216,011,0,,,$35.50 ,$48.50 ,$0.00 ,$48.50 ,$12.60 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice H5216-133 (PPO),Local PPO,No,,Enhanced Alternative,H5216,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice H5216-287 (PPO),Local PPO,No,,Enhanced Alternative,H5216,287,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Wayne,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Wayne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,214,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,217,0,,,$10.40 ,$9.60 ,$0.00 ,$9.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,399,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,404,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,7,,,$81.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,5,,,$212.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage HMO ConnectedCare (HMO),HMO,No,,Enhanced Alternative,H5883,007,0,,,$28.30 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage HMO-POS Community Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,012,2,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wayne,Blue Care Network,Local CCP,BCN Advantage Local (HMO),HMO,No,,Enhanced Alternative,H5883,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.5
Michigan,Wayne,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Wayne,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Wayne,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Wayne,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Wayne,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wayne,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wayne,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wayne,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Wayne,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H6832,001,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Wayne,Align Senior Care,Local CCP,Memory Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Wayne,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6832,003,0,,,,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Michigan,Wayne,Zing Health,Local CCP,Zing Open Choice MI (PPO),Local PPO,No,,Enhanced Alternative,H6876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Wayne,Zing Health,Local CCP,Zing Dual Complete Open Choice MI (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Enhanced Alternative,H6876,002,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Wayne,Zing Health,Local CCP,Zing Open Choice Diabetes & Heart MI (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6876,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Michigan,Wayne,Molina Healthcare of Michigan,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7844,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Wayne,Aetna Better Health Premier Plan,Demo,Aetna Better Health Premier Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8026,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Wayne,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,002,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Wayne,Humana,Local CCP,Humana Gold Plus H8908-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,001,0,,,$1.30 ,$46.70 ,$0.00 ,$46.70 ,$10.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wayne,Humana,Local CCP,Humana Gold Plus H8908-004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8908,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8908,005,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,6,,,$93.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,6,,,$43.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,6,,,$228.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Wayne,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Wayne,HAP CareSource MI Health Link,Demo,HAP Empowered MI Health Link (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9712,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Michigan,Wayne,CCA Health Michigan,Local CCP,CCA Medicare Excel (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9861,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Michigan,Wayne,CCA Health Michigan,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H9861,003,0,,,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Michigan,Wayne,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wexford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,028,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Michigan,Wexford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wexford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,029,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wexford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2117,001,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,2.5,2.5,2.5
Michigan,Wexford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2117,002,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Michigan,Wexford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wexford,UnitedHealthcare,Local CCP,UHC Dual Complete MI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2247,003,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Key (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,028,2,,,$41.30 ,$37.70 ,$0.00 ,$37.70 ,$1.80 ,$0.00 ,,,,4.0,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2320,029,2,,,$3.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$75.00 ,1,,,4.0,4.5,4.5
Michigan,Wexford,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3192,007,0,,Yes,$0.00 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Michigan,Wexford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3192,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Merit (PPO),Local PPO,No,,Enhanced Alternative,H4875,016,5,,,$25.20 ,$47.80 ,$0.00 ,$47.80 ,$11.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Select (PPO),Local PPO,No,,Enhanced Alternative,H4875,017,2,,,$93.20 ,$53.80 ,$0.00 ,$53.80 ,$17.90 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Ideal (PPO),Local PPO,No,,Enhanced Alternative,H4875,018,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$125.00 ,1,,,4.5,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Edge (PPO),Local PPO,No,,Enhanced Alternative,H4875,020,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare Vital (PPO),Local PPO,No,,Enhanced Alternative,H4875,022,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
Michigan,Wexford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,305,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,HumanaChoice H5216-306 (PPO),Local PPO,No,,Enhanced Alternative,H5216,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,HumanaChoice H5216-380 (PPO),Local PPO,No,,Enhanced Alternative,H5216,380,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,Humana Value Plus H5216-382 (PPO),Local PPO,No,,Enhanced Alternative,H5216,382,0,,,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$260.00 ,1,,,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,HumanaChoice H5216-384 (PPO),Local PPO,No,,Enhanced Alternative,H5216,384,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,385,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Wexford,Humana,Local CCP,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,388,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Michigan,Wexford,Wellcare,Local CCP,Wellcare Dual Access (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,001,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Wexford,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,024,0,,,$9.00 ,($1.30),$1.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Wexford,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,026,0,,,$0.00 ,($7.10),$7.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Michigan,Wexford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,031,0,,,$0.00 ,($13.60),$13.60 ,$0.00 ,$0.00 ,$315.00 ,1,,,2.5,3.5,3.0
Michigan,Wexford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H5475,038,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$400.00 ,1,,,2.5,3.5,3.0
Michigan,Wexford,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5475,039,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Michigan,Wexford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,284,0,,,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Wexford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Michigan,Wexford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,002,4,,,$56.60 ,$45.40 ,$0.00 ,$45.40 ,$9.50 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wexford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prestige (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,003,4,,,$175.00 ,$51.00 ,$0.00 ,$51.00 ,$15.10 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wexford,Blue Care Network,Local CCP,BCN Advantage HMO-POS Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5883,014,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.5
Michigan,Wexford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,001,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Wexford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5926,005,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Michigan,Wexford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5926,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Michigan,Wexford,Molina Healthcare of Michigan,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H5926,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,2.5,2.5
Michigan,Wexford,McLaren Medicare,Local CCP,McLaren Medicare Inspire (HMO),HMO,No,,Enhanced Alternative,H6322,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wexford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Plus (HMO),HMO,No,,Enhanced Alternative,H6322,002,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wexford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6322,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$13.10 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Michigan,Wexford,McLaren Medicare,Local CCP,McLaren Medicare Inspire Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6322,004,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Michigan,Wexford,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Michigan,Wexford,Priority Health Medicare,Local CCP,PriorityMedicare D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8379,001,0,,Yes,$0.00 ,$35.90 ,$0.00 ,$35.90 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H9572,001,4,,,$80.80 ,$39.20 ,$0.00 ,$39.20 ,$3.30 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Vitality (PPO),Local PPO,No,,Enhanced Alternative,H9572,002,4,,,$46.50 ,$31.50 ,$0.00 ,$31.50 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Assure (PPO),Local PPO,No,,Enhanced Alternative,H9572,003,4,,,$161.70 ,$54.30 ,$0.00 ,$54.30 ,$18.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Essential (PPO),Local PPO,No,,Enhanced Alternative,H9572,004,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue PPO Part B Credit (PPO),Local PPO,No,,Enhanced Alternative,H9572,006,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
Michigan,Wexford,Blue Cross Blue Shield of Michigan,Local CCP,Medicare Plus Blue + Meijer (PPO),Local PPO,No,,Enhanced Alternative,H9572,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Michigan,Wexford,Humana,Regional CCP,HumanaChoice R3887-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R3887,002,0,,Yes,$69.70 ,$35.30 ,$0.00 ,$35.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Minnesota,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Minnesota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Minnesota,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Minnesota,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Minnesota,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Minnesota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Minnesota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Minnesota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Minnesota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Minnesota,Aitkin,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Aitkin,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Aitkin,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Aitkin,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Aitkin,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Aitkin,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Aitkin,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Aitkin,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Aitkin,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Aitkin,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Aitkin,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Aitkin,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Aitkin,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Aitkin,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Aitkin,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Aitkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Aitkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Aitkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Aitkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Aitkin,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Aitkin,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Aitkin,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Aitkin,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Aitkin,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Anoka,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Anoka,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Anoka,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Anoka,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Anoka,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Anoka,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Anoka,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Anoka,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Anoka,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Anoka,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Anoka,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Anoka,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Anoka,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Anoka,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Anoka,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Anoka,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Anoka,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Anoka,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Anoka,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Anoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Anoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Anoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Anoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Anoka,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Anoka,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Anoka,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Anoka,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Anoka,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Anoka,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Becker,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Becker,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Becker,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Becker,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Becker,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Becker,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Becker,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Becker,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Becker,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Becker,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Becker,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Becker,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Becker,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Becker,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Becker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Becker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Becker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Becker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Becker,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Becker,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Becker,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Becker,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Becker,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Becker,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Becker,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Beltrami,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Beltrami,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Beltrami,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Beltrami,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Beltrami,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Beltrami,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Beltrami,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Beltrami,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Beltrami,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Beltrami,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Beltrami,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Beltrami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Beltrami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Beltrami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Beltrami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Beltrami,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Beltrami,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Beltrami,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Beltrami,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Benton,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Benton,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Benton,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Benton,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Benton,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Benton,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Benton,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Benton,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Benton,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Benton,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Benton,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Benton,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Benton,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Benton,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Benton,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Benton,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Big Stone,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Big Stone,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Big Stone,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Big Stone,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Big Stone,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Big Stone,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Big Stone,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Big Stone,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Big Stone,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Big Stone,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Big Stone,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Big Stone,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Big Stone,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Big Stone,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Big Stone,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Big Stone,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Blue Earth,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Blue Earth,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Blue Earth,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Blue Earth,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Blue Earth,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Blue Earth,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Blue Earth,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Blue Earth,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Blue Earth,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Blue Earth,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Blue Earth,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Blue Earth,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Blue Earth,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Blue Earth,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Blue Earth,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Blue Earth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Blue Earth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Blue Earth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Blue Earth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Blue Earth,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Blue Earth,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Blue Earth,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Blue Earth,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Brown,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Brown,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Brown,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Brown,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Brown,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Brown,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Brown,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Brown,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Brown,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Brown,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Brown,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Brown,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Brown,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Brown,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Brown,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Brown,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Brown,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Brown,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Brown,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Brown,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Carlton,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Carlton,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Carlton,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Carlton,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Carlton,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Carlton,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Carlton,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Carlton,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Carlton,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Carlton,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Carlton,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Carlton,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Carlton,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Carlton,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Carlton,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Carlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Carlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Carlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Carlton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Carlton,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Carlton,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Carlton,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Carlton,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Carlton,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Carver,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Carver,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Carver,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Carver,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Carver,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Carver,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Carver,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Carver,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Carver,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Carver,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Carver,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Carver,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Carver,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Carver,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Carver,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Carver,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Carver,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Carver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Carver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Carver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Carver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Carver,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Carver,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Carver,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Carver,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Carver,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Carver,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Cass,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Cass,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Cass,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Cass,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Cass,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Cass,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Cass,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Cass,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Cass,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Cass,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Cass,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Cass,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Cass,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Cass,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Cass,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Cass,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Cass,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Cass,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Chippewa,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Chippewa,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Chippewa,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Chippewa,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Chippewa,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Chippewa,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Chippewa,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Chippewa,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Chippewa,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Chippewa,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Chippewa,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Chippewa,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Chippewa,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Chippewa,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Chippewa,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Chippewa,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Chippewa,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Chippewa,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Chisago,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Chisago,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Chisago,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Chisago,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Chisago,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Chisago,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Chisago,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Chisago,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Chisago,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Chisago,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Chisago,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Chisago,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Chisago,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Chisago,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Chisago,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Chisago,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Chisago,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Chisago,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Chisago,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Chisago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Chisago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Chisago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Chisago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Chisago,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Chisago,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Chisago,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Chisago,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Chisago,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Clay,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Clay,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Clay,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Clay,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Clay,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Clay,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Clay,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Clay,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Clay,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Clay,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Clay,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Clay,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Clay,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Clay,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Clay,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Clay,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Clay,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Clay,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Clay,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Clearwater,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Clearwater,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Clearwater,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Clearwater,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Clearwater,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Clearwater,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Clearwater,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Clearwater,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Clearwater,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Clearwater,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Clearwater,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Clearwater,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Clearwater,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Clearwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Clearwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Clearwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Clearwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Clearwater,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Clearwater,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Clearwater,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Clearwater,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Cook,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Cook,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Cook,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Cook,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Cook,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Cook,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Cook,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Cook,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Cook,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Cook,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Cook,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Cook,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Cook,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Cook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Cook,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Cook,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Cook,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Cottonwood,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Cottonwood,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Cottonwood,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Cottonwood,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Cottonwood,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Cottonwood,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Cottonwood,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Cottonwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Cottonwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Cottonwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Cottonwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Cottonwood,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Cottonwood,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Cottonwood,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Crow Wing,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Crow Wing,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Crow Wing,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Crow Wing,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Crow Wing,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Crow Wing,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Crow Wing,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Crow Wing,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Crow Wing,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Crow Wing,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Crow Wing,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Crow Wing,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Crow Wing,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Crow Wing,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Crow Wing,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Crow Wing,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Crow Wing,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Crow Wing,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Crow Wing,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Crow Wing,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Dakota,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Dakota,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Dakota,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Dakota,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Dakota,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Dakota,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Dakota,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Dakota,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Dakota,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Dakota,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Dakota,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Dakota,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Dakota,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Dakota,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Dakota,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Dakota,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Dakota,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Dakota,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Dakota,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Dakota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Dakota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Dakota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Dakota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Dakota,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Dakota,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Dakota,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Dakota,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Dakota,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Dakota,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Dodge,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Dodge,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Dodge,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Dodge,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Dodge,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Dodge,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Dodge,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Dodge,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Dodge,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Dodge,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Dodge,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Dodge,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Dodge,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Dodge,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Dodge,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Douglas,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Douglas,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Douglas,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Douglas,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Douglas,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Douglas,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Douglas,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Douglas,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Douglas,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Douglas,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Douglas,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Douglas,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Douglas,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Douglas,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Faribault,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Faribault,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Faribault,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Faribault,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Faribault,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Faribault,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Faribault,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Faribault,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Faribault,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Faribault,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Faribault,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Faribault,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Faribault,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Faribault,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Faribault,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Faribault,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Faribault,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Faribault,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Faribault,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Fillmore,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Fillmore,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Fillmore,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Fillmore,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Fillmore,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Fillmore,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Fillmore,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Fillmore,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Fillmore,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Fillmore,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Fillmore,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Fillmore,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Fillmore,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Fillmore,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Fillmore,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Fillmore,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Fillmore,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Fillmore,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Fillmore,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,001,0,,,$105.60 ,$51.40 ,$0.00 ,$51.40 ,$9.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Fillmore,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,003,0,,,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$5.80 ,$250.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Fillmore,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Fillmore,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Freeborn,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Freeborn,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Freeborn,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Freeborn,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Freeborn,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Freeborn,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Freeborn,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Freeborn,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Freeborn,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Freeborn,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Freeborn,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Freeborn,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Freeborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Freeborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Freeborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Freeborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Freeborn,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Freeborn,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Freeborn,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Freeborn,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Freeborn,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Goodhue,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Goodhue,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Goodhue,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Goodhue,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Goodhue,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Goodhue,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Goodhue,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Goodhue,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Goodhue,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Goodhue,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Goodhue,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Goodhue,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Goodhue,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Goodhue,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Goodhue,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Goodhue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Goodhue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Goodhue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Goodhue,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Goodhue,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Goodhue,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Grant,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Grant,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Grant,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Grant,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Grant,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Grant,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Grant,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Grant,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Grant,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Grant,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Grant,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Grant,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Hennepin,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Hennepin,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Hennepin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Hennepin,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Hennepin,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Hennepin,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Hennepin,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Hennepin,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Hennepin,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Hennepin,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Hennepin,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Hennepin,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Hennepin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Hennepin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Hennepin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Hennepin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Hennepin,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Hennepin,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Hennepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Hennepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Hennepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Hennepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Hennepin,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Hennepin,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Hennepin,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Hennepin,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Hennepin,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Hennepin,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Houston,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Houston,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Houston,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Houston,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Houston,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Houston,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Houston,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Houston,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Houston,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Houston,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Houston,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Houston,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Houston,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Houston,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Houston,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Houston,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Houston,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Houston,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Houston,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,001,0,,,$105.60 ,$51.40 ,$0.00 ,$51.40 ,$9.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Houston,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,003,0,,,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$5.80 ,$250.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Houston,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Hubbard,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Hubbard,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Hubbard,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Hubbard,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Hubbard,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Hubbard,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Hubbard,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Hubbard,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Hubbard,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Hubbard,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Hubbard,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Hubbard,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Hubbard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Hubbard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Hubbard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Hubbard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Hubbard,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Hubbard,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Hubbard,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Hubbard,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Hubbard,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Hubbard,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Isanti,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Isanti,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Isanti,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Isanti,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Isanti,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Isanti,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Isanti,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Isanti,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Isanti,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Isanti,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Isanti,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Isanti,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Isanti,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Isanti,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Isanti,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Isanti,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Isanti,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Isanti,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Isanti,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Isanti,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Isanti,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Isanti,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Isanti,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Isanti,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Isanti,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Isanti,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Isanti,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Isanti,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Itasca,Itasca Medical Care/IMCare Classic,Local CCP,IMCare Classic (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2417,001,0,,Yes,$0.00 ,$23.60 ,$0.00 ,$23.60 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Minnesota,Itasca,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Itasca,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Itasca,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Itasca,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Itasca,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Itasca,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Itasca,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Itasca,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Itasca,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Itasca,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Itasca,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Itasca,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Itasca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Itasca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Itasca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Itasca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Itasca,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Itasca,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Itasca,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Itasca,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Jackson,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Jackson,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Jackson,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Jackson,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Jackson,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Jackson,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Jackson,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Jackson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Jackson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Jackson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Jackson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Jackson,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Jackson,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Jackson,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Kanabec,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Kanabec,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Kanabec,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Kanabec,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Kanabec,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Kanabec,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Kanabec,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Kanabec,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Kanabec,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Kanabec,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Kanabec,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Kanabec,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Kanabec,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Kanabec,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Kanabec,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Kanabec,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Kanabec,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Kanabec,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Kanabec,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Kanabec,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Kanabec,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Kanabec,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Kanabec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Kanabec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Kanabec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Kanabec,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Kanabec,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Kanabec,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Kanabec,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Kandiyohi,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Kandiyohi,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Kandiyohi,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Kandiyohi,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Kandiyohi,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kandiyohi,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Kandiyohi,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Kandiyohi,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Kandiyohi,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Kandiyohi,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Kandiyohi,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Kandiyohi,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Kandiyohi,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Kandiyohi,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Kandiyohi,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Kittson,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Kittson,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Kittson,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Kittson,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Kittson,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Kittson,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Kittson,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Kittson,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Kittson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Kittson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Kittson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Kittson,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Kittson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Kittson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Kittson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Kittson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Kittson,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Kittson,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Kittson,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Kittson,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Kittson,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Koochiching,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Koochiching,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Koochiching,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Koochiching,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Koochiching,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Koochiching,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Koochiching,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Koochiching,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Koochiching,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Koochiching,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Koochiching,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Koochiching,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Koochiching,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Koochiching,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Koochiching,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Koochiching,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Koochiching,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Koochiching,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Koochiching,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Koochiching,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Koochiching,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Koochiching,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Koochiching,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Koochiching,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Lac qui Parle,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Lac qui Parle,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Lac qui Parle,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Lac qui Parle,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lac qui Parle,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Lac qui Parle,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Lac qui Parle,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Lac qui Parle,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lac qui Parle,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Lac qui Parle,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lac qui Parle,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lac qui Parle,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lac qui Parle,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lac qui Parle,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lac qui Parle,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lac qui Parle,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lac qui Parle,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Lac qui Parle,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Lake,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Lake,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Lake,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Lake,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Lake,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Lake,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Lake,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Lake,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lake,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lake,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Lake,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Lake,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Lake,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lake,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Lake,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lake,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lake,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Lake,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Lake,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Lake of the Woods,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Lake of the Woods,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Lake of the Woods,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Lake of the Woods,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lake of the Woods,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lake of the Woods,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lake of the Woods,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lake of the Woods,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lake of the Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Lake of the Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Lake of the Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Lake of the Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lake of the Woods,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lake of the Woods,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Lake of the Woods,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Le Sueur,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Le Sueur,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Le Sueur,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Le Sueur,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Le Sueur,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Le Sueur,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Le Sueur,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Le Sueur,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Le Sueur,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Le Sueur,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Le Sueur,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Le Sueur,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Le Sueur,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Le Sueur,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Le Sueur,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Le Sueur,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Le Sueur,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Le Sueur,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Le Sueur,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Le Sueur,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Le Sueur,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Le Sueur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Le Sueur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Le Sueur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Le Sueur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Le Sueur,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Le Sueur,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Minnesota,Lincoln,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Lincoln,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Lincoln,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Lincoln,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Lincoln,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lincoln,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Lincoln,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Lincoln,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lincoln,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lincoln,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lincoln,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lincoln,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lincoln,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lincoln,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lincoln,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Lincoln,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Lyon,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Lyon,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Lyon,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Lyon,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Lyon,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Lyon,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Lyon,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Lyon,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Lyon,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Lyon,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lyon,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lyon,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Lyon,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Lyon,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Lyon,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Lyon,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Mahnomen,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Mahnomen,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Mahnomen,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mahnomen,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Mahnomen,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Mahnomen,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Mahnomen,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Mahnomen,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mahnomen,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Mahnomen,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Mahnomen,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Mahnomen,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Mahnomen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Mahnomen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mahnomen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mahnomen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Mahnomen,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mahnomen,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mahnomen,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Mahnomen,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Mahnomen,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Marshall,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Marshall,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Marshall,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Marshall,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Marshall,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Marshall,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Marshall,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Marshall,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Marshall,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Marshall,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Marshall,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Marshall,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Marshall,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Marshall,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Marshall,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Marshall,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Marshall,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Marshall,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Martin,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Martin,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Martin,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Martin,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Martin,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Martin,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Martin,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Martin,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Martin,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Martin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Martin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Martin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Martin,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Martin,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Martin,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Martin,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,McLeod,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,McLeod,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,McLeod,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,McLeod,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,McLeod,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,McLeod,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,McLeod,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,McLeod,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,McLeod,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,McLeod,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,McLeod,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,McLeod,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,McLeod,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,McLeod,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,McLeod,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,McLeod,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,McLeod,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,McLeod,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,McLeod,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,McLeod,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,McLeod,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,McLeod,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,McLeod,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Meeker,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Meeker,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Meeker,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Meeker,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Meeker,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Meeker,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Meeker,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Meeker,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Meeker,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Meeker,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Meeker,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Meeker,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Meeker,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Meeker,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Meeker,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Meeker,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Meeker,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Meeker,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Meeker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Meeker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Meeker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Meeker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Meeker,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mille Lacs,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Mille Lacs,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Mille Lacs,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Mille Lacs,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Mille Lacs,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Mille Lacs,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Mille Lacs,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Mille Lacs,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Mille Lacs,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Mille Lacs,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Mille Lacs,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Mille Lacs,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Mille Lacs,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Mille Lacs,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Mille Lacs,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Mille Lacs,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Mille Lacs,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Mille Lacs,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mille Lacs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Mille Lacs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mille Lacs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mille Lacs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Mille Lacs,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mille Lacs,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mille Lacs,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Morrison,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Morrison,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Morrison,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Morrison,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Morrison,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Morrison,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Morrison,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Morrison,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Morrison,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Morrison,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Morrison,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Morrison,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Morrison,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Morrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Morrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Morrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Morrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Morrison,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Morrison,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Morrison,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Morrison,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Morrison,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Mower,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Mower,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Mower,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mower,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Mower,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Mower,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Mower,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Mower,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Mower,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Mower,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Mower,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Mower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Mower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Mower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Mower,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Mower,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Mower,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Mower,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Minnesota,Murray,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Murray,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Murray,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Murray,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Murray,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Murray,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Murray,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Murray,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Murray,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Murray,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Murray,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Murray,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Murray,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Murray,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Murray,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Murray,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Murray,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Murray,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Murray,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Nicollet,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Nicollet,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Nicollet,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Nicollet,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Nicollet,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Nicollet,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Nicollet,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Nicollet,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Nicollet,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Nicollet,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Nicollet,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Nicollet,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Nicollet,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Nicollet,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Nicollet,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Nicollet,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Nicollet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Nicollet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Nicollet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Nicollet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Nicollet,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Nicollet,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Nicollet,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Nicollet,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Nicollet,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Nobles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Minnesota,Nobles,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Nobles,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Nobles,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Nobles,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Nobles,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Nobles,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Nobles,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Nobles,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Nobles,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Nobles,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Nobles,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Nobles,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Nobles,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Nobles,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Nobles,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Nobles,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Nobles,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Nobles,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Norman,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Norman,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Norman,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Norman,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Norman,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Norman,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Norman,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Norman,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Norman,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Norman,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Norman,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Norman,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Norman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Norman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Norman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Norman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Norman,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Norman,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Norman,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Norman,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Norman,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Olmsted,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Olmsted,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Olmsted,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Olmsted,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Olmsted,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Olmsted,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Olmsted,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Olmsted,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Olmsted,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Olmsted,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Olmsted,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Olmsted,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Olmsted,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Olmsted,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Olmsted,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Olmsted,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Olmsted,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Olmsted,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Olmsted,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Olmsted,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Otter Tail,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Otter Tail,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Otter Tail,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Otter Tail,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Otter Tail,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Otter Tail,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Otter Tail,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Otter Tail,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Otter Tail,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Otter Tail,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Otter Tail,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Otter Tail,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Otter Tail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Otter Tail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Otter Tail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Otter Tail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Otter Tail,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Otter Tail,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Otter Tail,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Otter Tail,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Pennington,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Pennington,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Pennington,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Pennington,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pennington,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pennington,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Pennington,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Pennington,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Pennington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Pennington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Pennington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Pennington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Pennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Pennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Pennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Pennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Pennington,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Pennington,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Pennington,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Pennington,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Pine,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Pine,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pine,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pine,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Pine,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Pine,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pine,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Pine,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Pine,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Pine,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Pine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Pine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Pine,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Pine,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Pine,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Pine,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Pine,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Pine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Pine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Pine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Pine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Pine,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Pine,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Pine,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,Pine,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,Pipestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Minnesota,Pipestone,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Pipestone,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Pipestone,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pipestone,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pipestone,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Pipestone,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Pipestone,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Pipestone,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Pipestone,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Pipestone,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Pipestone,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pipestone,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pipestone,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pipestone,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Pipestone,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Pipestone,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Pipestone,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Pipestone,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Polk,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Polk,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Polk,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Polk,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Polk,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Polk,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Polk,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Polk,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Polk,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Polk,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Polk,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Polk,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Polk,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Polk,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Polk,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Polk,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Polk,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Polk,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Pope,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Pope,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Pope,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Pope,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Pope,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Pope,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Pope,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Pope,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Pope,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Pope,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Pope,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Pope,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Pope,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Ramsey,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Ramsey,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Ramsey,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Ramsey,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Ramsey,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Ramsey,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Ramsey,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Ramsey,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Ramsey,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Ramsey,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Ramsey,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Ramsey,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Ramsey,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Ramsey,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Ramsey,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Ramsey,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Ramsey,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Ramsey,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Ramsey,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Ramsey,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Ramsey,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Ramsey,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Ramsey,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Ramsey,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Red Lake,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Red Lake,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Red Lake,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Red Lake,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Red Lake,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Red Lake,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Red Lake,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Red Lake,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Red Lake,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Red Lake,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Red Lake,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Red Lake,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Red Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Red Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Red Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Red Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Red Lake,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Red Lake,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Red Lake,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Red Lake,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Red Lake,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Redwood,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Redwood,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Redwood,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Redwood,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Redwood,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Redwood,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Redwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Redwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Redwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Redwood,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Redwood,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Redwood,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Redwood,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Renville,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Renville,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Renville,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Renville,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Renville,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Renville,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Renville,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Renville,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Renville,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Renville,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Renville,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Renville,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Renville,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Renville,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Renville,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Renville,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Renville,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Renville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Renville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Renville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Renville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Renville,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Renville,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Renville,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Rice,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Rice,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rice,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rice,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Rice,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Rice,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rice,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Rice,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Rice,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Rice,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Rice,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Rice,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Rice,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Rice,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Rice,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Rice,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Rice,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Rice,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Rice,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Rice,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Rice,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Rock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Minnesota,Rock,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Rock,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rock,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rock,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Rock,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Rock,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Rock,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Rock,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Rock,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Rock,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Rock,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Rock,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Rock,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Rock,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Rock,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Rock,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Rock,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Rock,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Rock,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Roseau,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Roseau,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Roseau,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Roseau,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Roseau,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Roseau,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Roseau,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Roseau,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Roseau,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Roseau,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Roseau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Roseau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Roseau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Roseau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Roseau,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Roseau,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Roseau,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Roseau,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Scott,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Scott,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Scott,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Scott,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Scott,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Scott,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Scott,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Scott,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Scott,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Scott,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Scott,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Scott,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Scott,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Scott,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Scott,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Scott,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Scott,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MN-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7778,001,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Scott,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Scott,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Scott,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Scott,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Scott,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Scott,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Sherburne,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Sherburne,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Sherburne,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Sherburne,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Sherburne,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Sherburne,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Sherburne,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Sherburne,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Sherburne,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Sherburne,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Sherburne,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Sherburne,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Sherburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Sherburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Sherburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Sherburne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Sherburne,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Sherburne,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Sherburne,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Sherburne,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Sherburne,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Sibley,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Sibley,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Sibley,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Sibley,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Sibley,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Sibley,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Sibley,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Sibley,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Sibley,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Sibley,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Sibley,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Sibley,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Sibley,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Sibley,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Sibley,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Sibley,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Sibley,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Sibley,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Sibley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Sibley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Sibley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Sibley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Sibley,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Sibley,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,St. Louis,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,St. Louis,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,St. Louis,UnitedHealthcare,Local CCP,UHC Dual Complete MN-Y002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0845,001,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,St. Louis,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,St. Louis,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,St. Louis,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,St. Louis,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,St. Louis,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,St. Louis,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,St. Louis,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,St. Louis,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,St. Louis,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,2,,,$170.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,St. Louis,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,St. Louis,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,St. Louis,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,St. Louis,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,St. Louis,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,St. Louis,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,St. Louis,UnitedHealthcare,Local CCP,UHC Dual Complete MN-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7778,001,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,St. Louis,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,St. Louis,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,St. Louis,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Minnesota,St. Louis,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Minnesota,St. Louis,UCare,Local CCP,EssentiaCare Access (PPO),Local PPO,No,,Enhanced Alternative,H8783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.5
Minnesota,St. Louis,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Stearns,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Stearns,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Stearns,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Stearns,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Stearns,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Stearns,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Stearns,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Stearns,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Stearns,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Stearns,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Stearns,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Stearns,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Stearns,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Stearns,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Stearns,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Stearns,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Steele,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Steele,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Steele,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Steele,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Steele,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Steele,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Steele,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Steele,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Steele,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Steele,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Steele,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Steele,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Steele,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Steele,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Steele,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Steele,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Steele,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Steele,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Steele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Steele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Steele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Steele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Steele,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Steele,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Steele,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Steele,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Stevens,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Stevens,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Stevens,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Stevens,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Stevens,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Stevens,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Stevens,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Stevens,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Stevens,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Stevens,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Stevens,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Stevens,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Stevens,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Stevens,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Stevens,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Stevens,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Stevens,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Swift,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Swift,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Swift,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Swift,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Swift,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Swift,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Swift,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Swift,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Swift,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Swift,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Swift,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Swift,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Swift,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Swift,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Todd,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Todd,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Todd,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Todd,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Todd,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Todd,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Todd,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Todd,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Todd,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Todd,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Todd,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Todd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Todd,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Todd,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Todd,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Todd,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Todd,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Traverse,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Traverse,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Traverse,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Traverse,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Traverse,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Traverse,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Traverse,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Traverse,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Traverse,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Traverse,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Traverse,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Traverse,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Traverse,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Traverse,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Traverse,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Traverse,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Traverse,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Traverse,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Traverse,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Traverse,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Traverse,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Traverse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Traverse,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wabasha,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Wabasha,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Wabasha,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Wabasha,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Wabasha,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Wabasha,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Wabasha,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Wabasha,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Wabasha,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Wabasha,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wabasha,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wabasha,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wabasha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Wabasha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wabasha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wabasha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wabasha,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wabasha,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Wabasha,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Wabasha,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Wabasha,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,001,0,,,$105.60 ,$51.40 ,$0.00 ,$51.40 ,$9.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Wabasha,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,003,0,,,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$5.80 ,$250.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Wabasha,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Wadena,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Wadena,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Wadena,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wadena,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Wadena,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Wadena,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wadena,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wadena,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wadena,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wadena,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wadena,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Wadena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Wadena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wadena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wadena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wadena,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wadena,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wadena,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Wadena,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Wadena,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Waseca,South Country Health Alliance,Local CCP,SeniorCare Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2419,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Waseca,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Waseca,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Waseca,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Waseca,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Waseca,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Waseca,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Waseca,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Waseca,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Waseca,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Waseca,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Waseca,South Country Health Alliance,Local CCP,AbilityCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5703,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Minnesota,Waseca,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Waseca,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Waseca,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Waseca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Waseca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Waseca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Waseca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Waseca,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Waseca,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Waseca,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Waseca,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Washington,UCare,Local CCP,Care Core: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,001,0,,,$5.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$295.00 ,1,,,3.5,3.5,3.5
Minnesota,Washington,UCare,Local CCP,Care Wise: M Health Fairview & North Memorial (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0422,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,,3.5,3.5,3.5
Minnesota,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,041,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Minnesota,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,047,0,,,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Minnesota,Washington,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Washington,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Washington,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Washington,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Washington,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Washington,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Washington,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Washington,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Washington,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Washington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Washington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Washington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Washington,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Washington,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Washington,Humana,Local CCP,Humana Gold Plus H6622-073 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
Minnesota,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Washington,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Washington,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Washington,Medica,Local CCP,Medica Advantage Solution H8889-001 (PPO),Local PPO,No,,Enhanced Alternative,H8889,001,0,,,$75.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Washington,Medica,Local CCP,Medica Advantage Solution H8889-003 (PPO),Local PPO,No,,Enhanced Alternative,H8889,003,0,,,$172.50 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Minnesota,Washington,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Washington,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Watonwan,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Watonwan,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Watonwan,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Watonwan,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Watonwan,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Watonwan,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Watonwan,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Watonwan,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Watonwan,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Watonwan,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Watonwan,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Watonwan,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Watonwan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Watonwan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Watonwan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Watonwan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Watonwan,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Watonwan,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Watonwan,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Wilkin,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Wilkin,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wilkin,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,2,,,$28.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,3,,,$49.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H3186,001,0,,,$42.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Wilkin,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H3186,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Wilkin,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Wilkin,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Wilkin,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Wilkin,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Wilkin,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wilkin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,2,,,$124.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wilkin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wilkin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,2,,,$47.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wilkin,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,016,0,,,$31.20 ,$13.40 ,$19.40 ,$32.80 ,$19.40 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wilkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Wilkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wilkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Wilkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wilkin,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wilkin,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wilkin,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Wilkin,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Wilkin,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Winona,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Winona,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Winona,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Winona,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,3,,,$172.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Winona,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Winona,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Winona,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Winona,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Winona,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Winona,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Winona,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Winona,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,009,0,,,$85.40 ,$22.40 ,$38.20 ,$60.60 ,$38.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Winona,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,011,0,,,$148.00 ,$28.80 ,$45.20 ,$74.00 ,$45.20 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Winona,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,012,0,,,$40.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Winona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Winona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Winona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,012,0,,,$13.80 ,$44.20 ,$0.00 ,$44.20 ,$2.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Minnesota,Winona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0006 (PPO),Local PPO,No,,Enhanced Alternative,H7404,023,0,,,$61.90 ,$46.10 ,$0.00 ,$46.10 ,$3.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Winona,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Winona,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Winona,Medica,Local CCP,Medica Advantage Solution H8889-004 (PPO),Local PPO,No,,Enhanced Alternative,H8889,004,0,,,$126.20 ,$4.80 ,$10.00 ,$14.80 ,$10.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Winona,Medica,Local CCP,Medica Advantage Solution H8889-008 (PPO),Local PPO,No,,Enhanced Alternative,H8889,008,0,,,$25.20 ,$7.80 ,$0.00 ,$7.80 ,$0.00 ,$445.00 ,1,,,4.0,4.5,4.0
Minnesota,Winona,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,001,0,,,$105.60 ,$51.40 ,$0.00 ,$51.40 ,$9.20 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Winona,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,003,0,,,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$5.80 ,$250.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Winona,Quartz Medicare Advantage,Local CCP,Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H9834,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,5.0,4.5,5.0
Minnesota,Wright,HealthPartners,Local CCP,HealthPartners Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2422,002,0,,Yes,$0.00 ,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Wright,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Wright,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Wright,Medica,Local CCP,Medica DUAL Solution (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2458,002,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wright,UCare,Local CCP,UCare Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,021,1,,,$127.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Essentials Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,023,1,,,$10.60 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,1,,,$44.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Aware (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,029,0,,,$0.00 ,$5.00 ,$0.00 ,$5.00 ,$0.00 ,$295.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Advocate Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Advocate Plus (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H2459,032,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Plus (PPO),Local PPO,No,,Enhanced Alternative,H3219,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H3219,002,0,,,$23.40 ,$3.60 ,$0.00 ,$3.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Grand (PPO),Local PPO,No,,Enhanced Alternative,H3219,003,0,,,$54.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H3219,004,0,,,$125.10 ,$11.90 ,$0.00 ,$11.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H3219,007,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Wright,Allina Health Aetna Medicare,Local CCP,Allina Health Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H3219,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.5,4.5
Minnesota,Wright,HealthPartners,Local CCP,HealthPartners Journey Steady (PPO),Local PPO,No,,Enhanced Alternative,H4882,003,0,,,$57.80 ,$59.50 ,$16.70 ,$76.20 ,$34.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,1,,,$0.00 ,$59.20 ,$24.80 ,$84.00 ,$41.80 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,1,,,$0.00 ,$33.40 ,$15.60 ,$49.00 ,$15.60 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,HumanaChoice H5216-275 (PPO),Local PPO,No,,Enhanced Alternative,H5216,275,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Minnesota,Wright,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Wright,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Wright,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H5959,010,1,,,$88.30 ,$53.00 ,$44.70 ,$97.70 ,$55.50 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wright,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Core (PPO),Local PPO,No,,Enhanced Alternative,H5959,013,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,5.0,4.5
Minnesota,Wright,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H5959,014,1,,,$37.10 ,$21.50 ,$37.40 ,$58.90 ,$37.40 ,$0.00 ,,,,4.0,5.0,4.5
Minnesota,Wright,Blue Cross and Blue Shield of Minnesota,Local CCP,Blue Cross Medicare Advantage Comfort (PPO),Local PPO,No,,Enhanced Alternative,H5959,015,0,,,$14.40 ,$17.90 ,$20.70 ,$38.60 ,$20.70 ,$300.00 ,1,,,4.0,5.0,4.5
Minnesota,Wright,Medica,Local CCP,Medica Advantage Solution H6154-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6154,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Minnesota,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H7404,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,002,0,,,$10.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Minnesota,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MN-0005 (PPO),Local PPO,No,,Enhanced Alternative,H7404,014,0,,,$35.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Minnesota,Wright,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wright,UCare,Local CCP,UCare Your Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H8070,002,0,,,$42.70 ,$13.30 ,$0.00 ,$13.30 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Minnesota,Wright,Medica,Local CCP,Medica Advantage Solution H8889-002 (PPO),Local PPO,No,,Enhanced Alternative,H8889,002,0,,,$88.80 ,$6.20 ,$0.00 ,$6.20 ,$0.00 ,$245.00 ,1,,,4.0,4.5,4.0
Minnesota,Wright,Medica,Local CCP,Medica Advantage Solution H8889-005 (PPO),Local PPO,No,,Enhanced Alternative,H8889,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.0
Minnesota,Wright,Medica,Local CCP,Medica AccessAbility Solution Enhanced (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9952,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Minnesota,Yellow Medicine,PrimeWest Health,Local CCP,PrimeWest Senior Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2416,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Minnesota,Yellow Medicine,Blue Plus,Local CCP,SecureBlue (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2425,001,0,,Yes,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Minnesota,Yellow Medicine,Medica,1876 Cost,Medica Prime Solution Basic w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,001,0,,,,$45.50 ,$31.90 ,$77.40 ,$35.20 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Yellow Medicine,Medica,1876 Cost,Medica Prime Solution Enhanced w/Rx 2 (Cost),1876 Cost,No,,Enhanced Alternative,H2450,002,0,,,,$35.50 ,$28.90 ,$64.40 ,$28.90 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Yellow Medicine,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Minnesota,Yellow Medicine,Medica,1876 Cost,Medica Prime Solution Basic w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,016,0,,,,$24.30 ,$14.70 ,$39.00 ,$14.70 ,$545.00 ,1,,,3.5,4.5,4.0
Minnesota,Yellow Medicine,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Minnesota,Yellow Medicine,UCare's MSHO,Local CCP,UCare's Minnesota Senior Health Options (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2456,002,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Minnesota,Yellow Medicine,UCare,Local CCP,UCare Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,024,0,,,$28.70 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$480.00 ,1,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,UCare,Local CCP,UCare Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2459,026,4,,,$94.40 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$235.00 ,1,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Core Plan with Rx (Cost),1876 Cost,No,,Actuarially Equivalent Standard,H2461,008,0,,Yes,,$24.50 ,$0.00 ,$24.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Minnesota,Yellow Medicine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Choice Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,009,0,,,,$30.10 ,$16.90 ,$47.00 ,$16.90 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Yellow Medicine,Blue Cross and Blue Shield of Minnesota,1876 Cost,Platinum Blue Complete Plan with Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2461,010,0,,,,$44.20 ,$22.70 ,$66.90 ,$24.70 ,$545.00 ,1,,,4.5,4.5,4.5
Minnesota,Yellow Medicine,PrimeWest Health,Local CCP,Prime Health Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2926,001,0,,Yes,$0.00 ,$42.10 ,$0.00 ,$42.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Minnesota,Yellow Medicine,HealthPartners,Local CCP,HealthPartners Journey Pace (PPO),Local PPO,No,,Enhanced Alternative,H4882,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,HealthPartners,Local CCP,HealthPartners Journey Dash (PPO),Local PPO,No,,Enhanced Alternative,H4882,010,2,,,$10.30 ,$59.20 ,$26.50 ,$85.70 ,$43.50 ,$250.00 ,1,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,HealthPartners,Local CCP,HealthPartners Journey Stride (PPO),Local PPO,No,,Enhanced Alternative,H4882,011,2,,,$7.90 ,$33.40 ,$17.70 ,$51.10 ,$17.70 ,$300.00 ,1,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Minnesota,Yellow Medicine,Humana,Local CCP,Humana Value Plus H5216-176 (PPO),Local PPO,No,,Basic Alternative,H5216,176,0,,Yes,$0.00 ,$41.70 ,$0.00 ,$41.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Minnesota,Yellow Medicine,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Minnesota,Yellow Medicine,UCare,Local CCP,UCare Connect + Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5937,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Minnesota,Yellow Medicine,UCare,Local CCP,UCare Your Choice (PPO),Local PPO,No,,Enhanced Alternative,H8070,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,074,0,Yes,Yes,,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Mississippi,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,154,0,Yes,,,($17.10),$17.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Mississippi,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,223,0,Yes,,,$38.50 ,$46.70 ,$85.20 ,$46.70 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Mississippi,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,040,0,Yes,,,$48.20 ,$0.00 ,$48.20 ,$8.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,041,0,Yes,,,$54.90 ,$58.20 ,$113.10 ,$73.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,195,0,Yes,,,$11.30 ,$2.00 ,$13.30 ,$2.00 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,226,0,Yes,Yes,,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,265,0,Yes,,,$60.40 ,$11.40 ,$71.80 ,$31.70 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,370,0,Yes,,,$10.60 ,$14.80 ,$25.40 ,$14.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,019,0,Yes,,,$82.40 ,$29.40 ,$111.80 ,$71.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Mississippi,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,142,0,Yes,Yes,,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Mississippi,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,166,0,Yes,,,$79.40 ,$19.40 ,$98.80 ,$58.70 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Mississippi,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,199,0,Yes,,,$33.80 ,$4.40 ,$38.20 ,$4.40 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Mississippi,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,365,0,Yes,,,$71.00 ,$0.00 ,$71.00 ,$30.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,401,0,Yes,,,$56.60 ,$6.50 ,$63.10 ,$23.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Mississippi,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,019,0,,,,$99.00 ,$0.00 ,$99.00 ,$58.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Mississippi,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,089,0,,,,$84.80 ,$10.30 ,$95.10 ,$55.00 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Mississippi,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,122,0,,,,$2.40 ,$20.80 ,$23.20 ,$20.80 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Mississippi,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Adams,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Adams,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Adams,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Adams,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Adams,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Adams,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Adams,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Adams,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Alcorn,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Alcorn,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Alcorn,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Alcorn,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Alcorn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Alcorn,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Alcorn,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Alcorn,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Alcorn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Alcorn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Alcorn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Alcorn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Alcorn,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Alcorn,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Amite,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Amite,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Amite,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Amite,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Amite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Amite,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Amite,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Amite,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Amite,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Amite,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Amite,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Amite,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Amite,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Amite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Amite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Amite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Amite,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Amite,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Amite,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Attala,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Attala,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Attala,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Attala,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Attala,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Attala,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Attala,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Attala,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Attala,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Attala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Attala,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Attala,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Attala,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Attala,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Attala,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Attala,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Attala,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Attala,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Attala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Attala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Attala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Attala,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Attala,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Benton,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Benton,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Benton,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Bolivar,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Bolivar,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Bolivar,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Bolivar,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Bolivar,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Bolivar,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Bolivar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Bolivar,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Bolivar,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Bolivar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Bolivar,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Bolivar,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Bolivar,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Bolivar,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Bolivar,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Bolivar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Bolivar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Bolivar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Bolivar,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Bolivar,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Bolivar,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Calhoun,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Calhoun,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Calhoun,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Calhoun,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Calhoun,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Calhoun,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Calhoun,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Calhoun,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Carroll,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Carroll,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Carroll,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Carroll,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Carroll,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Carroll,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Carroll,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Carroll,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Carroll,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Chickasaw,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Chickasaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Chickasaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Chickasaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Chickasaw,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Chickasaw,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Choctaw,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Choctaw,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Choctaw,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Choctaw,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Choctaw,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Choctaw,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Choctaw,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Choctaw,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Claiborne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Claiborne,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Claiborne,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Claiborne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Claiborne,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Claiborne,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Claiborne,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Claiborne,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Claiborne,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Claiborne,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Clarke,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Clarke,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Clarke,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Clarke,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Clarke,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Clarke,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Clarke,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Clarke,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Clarke,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Clarke,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Clarke,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Clay,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Clay,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Clay,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Clay,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Clay,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Coahoma,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Coahoma,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Coahoma,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Coahoma,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Coahoma,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Coahoma,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Coahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Coahoma,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Coahoma,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Coahoma,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Coahoma,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Coahoma,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Coahoma,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Coahoma,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Coahoma,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Coahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Coahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Coahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Coahoma,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Copiah,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Copiah,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Copiah,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Copiah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Copiah,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Copiah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Copiah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Copiah,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Copiah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Copiah,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Copiah,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Copiah,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Copiah,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Copiah,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Copiah,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Copiah,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Copiah,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Copiah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Copiah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Copiah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Copiah,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Copiah,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Covington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Covington,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Covington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Covington,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Covington,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Covington,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Covington,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Covington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Covington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Covington,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Covington,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Covington,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Covington,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Covington,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Covington,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Covington,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Covington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Covington,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Covington,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,DeSoto,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,DeSoto,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,070,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,DeSoto,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,DeSoto,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,DeSoto,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,DeSoto,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,DeSoto,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,DeSoto,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,DeSoto,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,DeSoto,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,DeSoto,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,DeSoto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,DeSoto,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,DeSoto,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,DeSoto,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Forrest,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Forrest,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Forrest,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Forrest,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Forrest,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Forrest,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Forrest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Forrest,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Forrest,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Forrest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Forrest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Forrest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Forrest,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Franklin,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Franklin,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Franklin,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Franklin,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Franklin,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Franklin,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Franklin,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,George,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,George,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,George,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,072,0,,,$0.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,George,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,George,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,George,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,George,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,George,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,George,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,George,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,George,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,George,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,George,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,George,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,George,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,George,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,George,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,George,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,George,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,George,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,George,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,George,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,George,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Greene,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Greene,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Greene,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Greene,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Greene,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Greene,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Greene,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Greene,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Greene,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Greene,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Greene,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Greene,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Grenada,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Grenada,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Grenada,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Grenada,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Grenada,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Grenada,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Grenada,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Grenada,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Grenada,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Grenada,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Grenada,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Grenada,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Grenada,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Grenada,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Grenada,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Grenada,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Hancock,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Hancock,Patrius Health,Local CCP,Blue Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H1347,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,072,0,,,$0.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Hancock,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Hancock,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,015,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,016,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hancock,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hancock,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hancock,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Hancock,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hancock,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Hancock,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hancock,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hancock,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Hancock,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Hancock,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Harrison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Mississippi,Harrison,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Harrison,Patrius Health,Local CCP,Blue Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H1347,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,072,0,,,$0.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Harrison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Harrison,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,015,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,016,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Harrison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Harrison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Harrison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Harrison,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Harrison,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Harrison,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Harrison,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Harrison,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Harrison,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Harrison,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Harrison,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Hinds,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Mississippi,Hinds,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Hinds,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Hinds,Patrius Health,Local CCP,Blue Advantage Capital (PPO),Local PPO,No,,Enhanced Alternative,H1347,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Hinds,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Hinds,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,015,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,016,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hinds,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hinds,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hinds,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Hinds,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Hinds,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Hinds,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Hinds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Hinds,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Hinds,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hinds,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Hinds,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hinds,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Hinds,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Hinds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Hinds,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Hinds,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Hinds,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Holmes,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Holmes,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Holmes,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Holmes,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Holmes,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Holmes,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Holmes,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Holmes,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Holmes,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Humphreys,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Humphreys,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Humphreys,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Humphreys,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Humphreys,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Humphreys,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Humphreys,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Humphreys,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Humphreys,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Humphreys,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Humphreys,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Humphreys,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Issaquena,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Issaquena,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Issaquena,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Issaquena,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Issaquena,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Issaquena,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Issaquena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Issaquena,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Issaquena,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Issaquena,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Issaquena,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Issaquena,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Issaquena,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Issaquena,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Issaquena,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Issaquena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Issaquena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Issaquena,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Issaquena,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Issaquena,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Itawamba,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Itawamba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Itawamba,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Itawamba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Itawamba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Itawamba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Itawamba,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Itawamba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Itawamba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Itawamba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Itawamba,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Itawamba,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Itawamba,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Jackson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Jackson,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Jackson,Patrius Health,Local CCP,Blue Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H1347,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,072,0,,,$0.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Jackson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Jackson,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,015,0,,Yes,$0.00 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Signature Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,016,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Signature (HMO),HMO,No,,Enhanced Alternative,H3239,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Jackson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jackson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Jackson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jackson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Jackson,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Jackson,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jackson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Jasper,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Jasper,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Jasper,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jasper,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jasper,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Jasper,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jasper,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Jasper,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jasper,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Jefferson,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Jefferson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Jefferson,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jefferson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Jefferson Davis,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Jefferson Davis,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jefferson Davis,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jefferson Davis,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jefferson Davis,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Jefferson Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Jefferson Davis,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson Davis,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson Davis,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson Davis,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jefferson Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Jefferson Davis,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jefferson Davis,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Jones,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Jones,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Jones,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Jones,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jones,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Jones,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Jones,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Jones,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jones,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Jones,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jones,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Jones,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Jones,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Jones,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Kemper,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Kemper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Kemper,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Kemper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Kemper,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Kemper,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Kemper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Kemper,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Kemper,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Kemper,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Kemper,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Kemper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Kemper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Kemper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Kemper,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Kemper,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Lafayette,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Lafayette,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Lafayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Lafayette,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lafayette,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Lamar,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lamar,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lamar,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Lamar,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lamar,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Lamar,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Lamar,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lamar,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Lamar,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lamar,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Lauderdale,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Lauderdale,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Lauderdale,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Lauderdale,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lauderdale,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Lawrence,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Lawrence,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Lawrence,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lawrence,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Lawrence,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lawrence,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Lawrence,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lawrence,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Leake,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Leake,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Leake,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leake,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Leake,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Leake,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Leake,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Leake,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Leake,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Leake,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Leake,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leake,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Leake,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leake,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Leake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Leake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Leake,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Leake,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Lee,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Mississippi,Lee,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Lee,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Lee,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lee,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Leflore,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Leflore,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Leflore,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Leflore,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Leflore,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Leflore,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Leflore,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Leflore,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Leflore,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Leflore,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Leflore,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leflore,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Leflore,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leflore,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Leflore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Leflore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Leflore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Leflore,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Leflore,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Leflore,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Lincoln,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Lincoln,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lincoln,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lincoln,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Lincoln,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lincoln,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Lincoln,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Lowndes,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lowndes,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Lowndes,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Lowndes,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Madison,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Madison,Patrius Health,Local CCP,Blue Advantage Capital (PPO),Local PPO,No,,Enhanced Alternative,H1347,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Madison,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Madison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Madison,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Madison,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Madison,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Madison,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Madison,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Madison,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Madison,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Madison,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Madison,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Madison,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Marion,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Marion,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Marion,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Marion,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Marion,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Marion,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Marion,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marion,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Marion,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Marion,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Marion,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Marion,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Marion,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Marion,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,070,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Marshall,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Marshall,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marshall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Marshall,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Marshall,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Marshall,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Marshall,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Marshall,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Monroe,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Monroe,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Monroe,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Monroe,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Monroe,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Montgomery,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Montgomery,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Montgomery,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Montgomery,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Montgomery,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Montgomery,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Montgomery,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Montgomery,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Montgomery,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Neshoba,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Neshoba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Neshoba,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Neshoba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Neshoba,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Neshoba,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Neshoba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Neshoba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Neshoba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Neshoba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Neshoba,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Neshoba,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Neshoba,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Newton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Newton,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Newton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Newton,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Newton,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Newton,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Newton,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Newton,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Newton,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Newton,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Newton,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Newton,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Noxubee,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Noxubee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Noxubee,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Noxubee,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Noxubee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Noxubee,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Noxubee,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Noxubee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Noxubee,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Noxubee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Noxubee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Noxubee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Noxubee,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Noxubee,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Oktibbeha,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Oktibbeha,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Oktibbeha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Oktibbeha,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Panola,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Panola,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,070,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Panola,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Panola,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Panola,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Panola,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Panola,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Panola,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Panola,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Panola,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Panola,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Panola,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Panola,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Panola,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Pearl River,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Pearl River,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Pearl River,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pearl River,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pearl River,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Pearl River,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pearl River,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Pearl River,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pearl River,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Pearl River,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pearl River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Pearl River,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Pearl River,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pearl River,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Pearl River,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pearl River,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pearl River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pearl River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pearl River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Pearl River,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Pearl River,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Pearl River,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Perry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Perry,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Perry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Perry,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Perry,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Perry,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Perry,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Perry,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Perry,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Perry,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Perry,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Perry,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Perry,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Pike,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Pike,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Pike,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Pike,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Pike,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pike,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Pike,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pike,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Pike,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pike,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Pike,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Pike,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Pike,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Pontotoc,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Pontotoc,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Pontotoc,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Pontotoc,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Prentiss,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Prentiss,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Prentiss,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Prentiss,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Prentiss,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Prentiss,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Prentiss,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Prentiss,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Prentiss,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Prentiss,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Prentiss,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Prentiss,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Quitman,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Quitman,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Quitman,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Quitman,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Quitman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Quitman,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Quitman,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Quitman,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Quitman,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Quitman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Quitman,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Quitman,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Rankin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Mississippi,Rankin,Humana,Local CCP,Humana Gold Plus H1036-151 (HMO),HMO,No,,Enhanced Alternative,H1036,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
Mississippi,Rankin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,222,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Mississippi,Rankin,Patrius Health,Local CCP,Blue Advantage Capital (PPO),Local PPO,No,,Enhanced Alternative,H1347,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Rankin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Rankin,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Rankin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Rankin,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Rankin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Rankin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Rankin,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Rankin,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Rankin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Rankin,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Rankin,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Rankin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Rankin,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Rankin,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Rankin,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Rankin,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Rankin,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Rankin,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Rankin,Cigna Healthcare,Local CCP,Cigna True Choice Access Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,064,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Rankin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Rankin,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Rankin,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Rankin,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Scott,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Scott,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Scott,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Scott,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Scott,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Scott,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Scott,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Scott,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Scott,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Scott,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Scott,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Scott,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Sharkey,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sharkey,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Sharkey,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Sharkey,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Sharkey,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Sharkey,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sharkey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Sharkey,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Sharkey,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Sharkey,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Sharkey,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Sharkey,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sharkey,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Sharkey,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sharkey,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sharkey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Sharkey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Sharkey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Sharkey,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Sharkey,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Simpson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Simpson,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Simpson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Simpson,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Simpson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Simpson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Simpson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Simpson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Simpson,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Simpson,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Simpson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Simpson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Simpson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Simpson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Simpson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Simpson,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Simpson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Smith,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Smith,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Smith,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Smith,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Smith,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Smith,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Smith,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Smith,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Smith,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Smith,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Smith,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Smith,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Smith,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Stone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Stone,Patrius Health,Local CCP,Blue Advantage Plus (PPO),Local PPO,No,,Enhanced Alternative,H1347,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Stone,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Stone,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Stone,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,008,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Stone,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Stone,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Stone,Aetna Medicare,Local CCP,Aetna Medicare Giveback Choice (PPO),Local PPO,No,,Enhanced Alternative,H5521,477,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Stone,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Stone,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Stone,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Stone,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Stone,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Stone,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Stone,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Sunflower,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Sunflower,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Sunflower,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Sunflower,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Sunflower,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Sunflower,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Sunflower,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Sunflower,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Sunflower,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Sunflower,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Sunflower,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sunflower,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Sunflower,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sunflower,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Sunflower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Sunflower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Sunflower,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Sunflower,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Sunflower,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Sunflower,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Tallahatchie,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Tallahatchie,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Tallahatchie,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tallahatchie,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Tallahatchie,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tallahatchie,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tallahatchie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Tallahatchie,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tallahatchie,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Tallahatchie,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tallahatchie,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tallahatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Tallahatchie,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tallahatchie,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Tate,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Tate,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,070,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Tate,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tate,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Tate,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tate,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Tate,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tate,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Tate,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tate,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tate,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Tate,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Tate,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tate,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Tate,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tate,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tate,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Tate,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tate,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Tippah,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Tippah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tippah,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Tippah,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tippah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tippah,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Tippah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tippah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tippah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Tippah,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tippah,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Tishomingo,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Tishomingo,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tishomingo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tishomingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Tishomingo,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Tishomingo,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tishomingo,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,070,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
Mississippi,Tunica,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Tunica,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Tunica,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tunica,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Tunica,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tunica,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Tunica,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Tunica,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Tunica,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Tunica,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Tunica,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Tunica,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tunica,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Tunica,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tunica,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Tunica,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Mississippi,Tunica,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tunica,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Tunica,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Tunica,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Tunica,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Patrius Health,Local CCP,Blue Advantage Magnolia (PPO),Local PPO,No,,Enhanced Alternative,H1347,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Union,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Union,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,005,0,,Yes,$0.00 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3239,012,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Union,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Union,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Union,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Union,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Union,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Walthall,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Walthall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Walthall,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Walthall,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Walthall,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Walthall,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Walthall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Walthall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Walthall,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Walthall,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Walthall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Walthall,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Walthall,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Walthall,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Walthall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Walthall,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Walthall,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Walthall,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Walthall,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Walthall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Walthall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Walthall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Walthall,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Walthall,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Warren,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Warren,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Warren,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Warren,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Warren,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Warren,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Warren,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Warren,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Warren,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Warren,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Warren,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Warren,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Warren,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Washington,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Washington,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Washington,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Washington,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Washington,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Washington,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Washington,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Washington,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Washington,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Wayne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Wayne,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Wayne,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,004,0,,Yes,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Wayne,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,027,0,,,$0.80 ,$31.20 ,$0.00 ,$31.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Wayne,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4407,029,0,,Yes,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Wayne,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4407,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Wayne,Humana,Local CCP,Humana Gold Plus H6622-047 (HMO),HMO,No,,Enhanced Alternative,H6622,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Mississippi,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,048,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Mississippi,Wayne,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wayne,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Wayne,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wayne,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Wayne,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Wayne,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Wayne,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Webster,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Webster,Aetna Medicare,Local CCP,Aetna Medicare North Mississippi Health (HMO),HMO,No,,Enhanced Alternative,H3239,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Mississippi,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Webster,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Webster,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Webster,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Webster,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Webster,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Webster,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Webster,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Webster,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Wilkinson,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,220,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Wilkinson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Wilkinson,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wilkinson,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Wilkinson,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wilkinson,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Wilkinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Wilkinson,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Winston,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Winston,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Winston,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Winston,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Winston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Winston,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Winston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Winston,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Winston,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Yalobusha,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Yalobusha,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Yalobusha,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Yalobusha,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,218,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Yalobusha,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Yalobusha,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Yalobusha,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Yalobusha,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yalobusha,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Yalobusha,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yalobusha,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Yalobusha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Yalobusha,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Yalobusha,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0074,001,0,,,$0.00 ,($1.00),$1.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,2.5,2.5,2.5
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0074,004,0,,Yes,$0.00 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Low Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,026,0,,,$24.20 ,$5.80 ,$0.00 ,$5.80 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,034,0,,Yes,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,044,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,065,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,068,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$440.00 ,1,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1416,071,0,,,$0.00 ,($2.40),$2.40 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.0,3.0
Mississippi,Yazoo,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,081,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Mississippi,Yazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,011,0,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Mississippi,Yazoo,Shared Health Dual Plus,Local CCP,Shared Health Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3015,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Not enough data available,2.0,Not enough data available
Mississippi,Yazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,011,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Yazoo,UnitedHealthcare,Local CCP,UHC Dual Complete MS-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,016,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice H5216-136 (PPO),Local PPO,No,,Enhanced Alternative,H5216,136,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.90 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,Humana Value Plus H5216-160 (PPO),Local PPO,No,,Basic Alternative,H5216,160,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,292,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,298,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice H5216-300 (PPO),Local PPO,No,,Enhanced Alternative,H5216,300,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,334,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Mississippi,Yazoo,Humana,Local CCP,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,367,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Mississippi,Yazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Mississippi,Yazoo,Aetna Medicare,Local CCP,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,464,0,,Yes,$0.00 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Yazoo,Aetna Medicare,Local CCP,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,465,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Mississippi,Yazoo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,470,0,,,$0.00 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Mississippi,Yazoo,Aetna Medicare,Local CCP,Aetna Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H5521,471,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Mississippi,Yazoo,Primewell Health Services,Local CCP,Primewell Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yazoo,Primewell Health Services,Local CCP,Primewell Dual Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7163,003,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Mississippi,Yazoo,Primewell Health Services,Local CCP,Primewell Reliance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,004,0,,,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yazoo,Primewell Health Services,Local CCP,Primewell Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7163,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,Not enough data available,2.5,Not enough data available
Mississippi,Yazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8768,030,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Yazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Mississippi,Yazoo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MS-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
Mississippi,Yazoo,American Health Advantage of MS,Local CCP,American Health Advantage of Mississippi (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9909,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Mississippi,Yazoo,Shared Health Dual Freedom,Local CCP,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H9946,001,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Mississippi,Yazoo,Humana,Regional CCP,HumanaChoice R0110-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0110,003,0,,,$91.00 ,$59.00 ,$0.00 ,$59.00 ,$16.90 ,$0.00 ,,,,4.5,4.0,4.5
Missouri,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,072,0,Yes,Yes,,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Missouri,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,152,0,Yes,,,($19.50),$19.50 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Missouri,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,221,0,Yes,,,$33.70 ,$45.20 ,$78.90 ,$45.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Missouri,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Blue MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,043,0,,,,$69.90 ,$0.00 ,$69.90 ,$26.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Blue MedicareRx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,044,0,,,,$32.80 ,$36.10 ,$68.90 ,$36.10 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,036,0,Yes,,,$50.50 ,$0.00 ,$50.50 ,$6.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,037,0,Yes,,,$34.30 ,$68.90 ,$103.20 ,$68.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,193,0,Yes,,,$7.70 ,$2.20 ,$9.90 ,$2.20 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,088,0,Yes,,,$57.80 ,$0.00 ,$57.80 ,$14.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,263,0,Yes,,,$85.90 ,$10.10 ,$96.00 ,$52.30 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,368,0,Yes,,,$4.40 ,$15.60 ,$20.00 ,$15.60 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,017,0,Yes,,,$80.00 ,$31.50 ,$111.50 ,$67.80 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Missouri,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,140,0,Yes,,,$58.80 ,$0.00 ,$58.80 ,$15.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Missouri,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,164,0,Yes,,,$82.30 ,$27.70 ,$110.00 ,$66.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Missouri,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,197,0,Yes,,,$36.90 ,$6.20 ,$43.10 ,$6.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Missouri,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,363,0,Yes,,,$68.60 ,$0.00 ,$68.60 ,$24.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,399,0,Yes,,,$49.40 ,$6.90 ,$56.30 ,$12.60 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Missouri,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,017,0,,,,$104.60 ,$0.00 ,$104.60 ,$60.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Missouri,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,087,0,,,,$58.60 ,$12.30 ,$70.90 ,$27.20 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Missouri,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,120,0,,,,$1.60 ,$21.80 ,$23.40 ,$21.80 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Missouri,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Adair,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Adair,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Adair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Adair,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Adair,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Adair,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Adair,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Adair,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Adair,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Adair,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Adair,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Adair,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Andrew,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Andrew,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Andrew,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Andrew,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Andrew,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Andrew,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Andrew,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Andrew,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Andrew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Andrew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Andrew,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Andrew,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Andrew,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Andrew,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Andrew,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Andrew,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Andrew,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Andrew,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Andrew,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Andrew,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Andrew,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Andrew,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Andrew,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Atchison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Atchison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Atchison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Atchison,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Atchison,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Atchison,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Atchison,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Atchison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Atchison,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Atchison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Atchison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Atchison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Audrain,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Audrain,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Audrain,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Audrain,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Audrain,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Audrain,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Audrain,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Audrain,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Audrain,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Audrain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Audrain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Audrain,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Audrain,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Audrain,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Audrain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Audrain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Audrain,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Audrain,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Audrain,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Audrain,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Audrain,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Audrain,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Audrain,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Audrain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Audrain,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Audrain,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Audrain,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Audrain,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Audrain,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Audrain,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Barry,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Barry,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Barry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Barry,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Barry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Barry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Barry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Barry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Barry,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Barry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barry,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Barry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Barry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barry,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barry,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Barry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Barry,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Barry,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barry,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Barry,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Barry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Barry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Barry,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Barry,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Barry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Barry,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barry,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barry,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Barry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Barry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Barry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Barton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Barton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Barton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Barton,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Barton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Barton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Barton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Barton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Barton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Barton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Barton,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Barton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Barton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Barton,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Barton,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Barton,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Barton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Barton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Barton,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Barton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Barton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Barton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Barton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Barton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Bates,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Bates,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Bates,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Bates,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Bates,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Bates,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Bates,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Bates,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Bates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bates,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Bates,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Bates,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bates,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Bates,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Bates,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Bates,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Bates,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Bates,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Bates,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Bates,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Bates,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Bates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Bates,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Bates,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Bates,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Bates,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Bates,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Benton,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Benton,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Benton,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Benton,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Benton,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Benton,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Benton,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Benton,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Benton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Benton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Benton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Benton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Benton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Benton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Benton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Bollinger,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Bollinger,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Bollinger,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Bollinger,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bollinger,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Bollinger,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bollinger,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bollinger,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Bollinger,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bollinger,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Bollinger,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Bollinger,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Bollinger,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Bollinger,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Bollinger,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Bollinger,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Bollinger,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Bollinger,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Bollinger,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Bollinger,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Bollinger,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Bollinger,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Bollinger,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Bollinger,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Bollinger,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Bollinger,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Boone,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Boone,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Boone,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Boone,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Boone,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Boone,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Boone,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Boone,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Boone,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Boone,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Boone,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Boone,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Boone,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Boone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Boone,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Boone,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Boone,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Boone,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Boone,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Boone,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Boone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Boone,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Boone,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Boone,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Boone,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Boone,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Boone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Boone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Boone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Buchanan,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Buchanan,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Buchanan,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Buchanan,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Buchanan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Buchanan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Buchanan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Butler,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Butler,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Butler,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Butler,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Butler,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Butler,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Butler,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Butler,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Butler,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Butler,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Butler,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Butler,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Butler,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Butler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Caldwell,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Caldwell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Caldwell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Caldwell,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Caldwell,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Caldwell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Caldwell,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Caldwell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Caldwell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Caldwell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Callaway,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Callaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Callaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Callaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Callaway,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Callaway,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Callaway,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Callaway,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Callaway,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Callaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Callaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Callaway,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Callaway,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Callaway,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Callaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Callaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Callaway,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Callaway,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Callaway,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Callaway,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Callaway,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Callaway,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Callaway,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Callaway,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Callaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Callaway,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Callaway,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Callaway,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Callaway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Callaway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Callaway,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Camden,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Camden,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Camden,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Camden,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Camden,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Camden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Camden,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Camden,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Camden,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Camden,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Camden,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Camden,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Camden,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Camden,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Camden,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Camden,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Camden,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Camden,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Camden,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Cape Girardeau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cape Girardeau,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cape Girardeau,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Cape Girardeau,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cape Girardeau,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cape Girardeau,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cape Girardeau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cape Girardeau,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cape Girardeau,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cape Girardeau,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cape Girardeau,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Cape Girardeau,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Cape Girardeau,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cape Girardeau,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Carroll,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carroll,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Carroll,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Carroll,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Carroll,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Carroll,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Carroll,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Carroll,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Carroll,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Carroll,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Carroll,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Carroll,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Carroll,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Carroll,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Carter,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Carter,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Carter,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Carter,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Carter,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Carter,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Carter,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Carter,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Carter,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Carter,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Carter,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Carter,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Carter,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cass,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Cass,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cass,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Cass,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cass,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cass,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Cass,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Cass,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Cass,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cass,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cass,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cass,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Cass,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cass,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cass,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Cass,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Cass,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Cass,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cass,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Cass,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cass,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Cass,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Cass,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Cass,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Cass,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Cass,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cass,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cedar,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cedar,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Cedar,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cedar,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cedar,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Cedar,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cedar,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cedar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cedar,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cedar,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Cedar,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cedar,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Cedar,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Cedar,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Cedar,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Cedar,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cedar,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Chariton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Chariton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Chariton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Chariton,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Chariton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Chariton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Chariton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Chariton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Chariton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Chariton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Chariton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Chariton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Chariton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Chariton,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Chariton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Chariton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Chariton,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Chariton,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Chariton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Chariton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Chariton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Chariton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Christian,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Christian,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Christian,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Christian,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Christian,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Christian,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Christian,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Christian,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Christian,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Christian,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Christian,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Christian,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Christian,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Christian,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Christian,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Christian,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Christian,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Christian,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Christian,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Christian,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Christian,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Christian,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Christian,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Christian,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Christian,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Christian,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Christian,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Christian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Christian,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Christian,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Christian,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Christian,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Christian,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Christian,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Clark,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clark,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clark,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Clark,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Clark,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Clark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Clark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clark,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Clay,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Clay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clay,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Clay,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clay,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Clay,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Clay,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Clay,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clay,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Clay,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Clay,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Clay,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Clay,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clay,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clay,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clay,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Clay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Clay,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Clay,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Clay,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Clay,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Clay,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clay,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clay,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Clay,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clay,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Clinton,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clinton,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Clinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Clinton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Clinton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Clinton,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clinton,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clinton,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Clinton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Clinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Clinton,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Clinton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Clinton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Clinton,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clinton,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Clinton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Clinton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Clinton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Clinton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Clinton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cole,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cole,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cole,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Cole,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cole,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cole,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Cole,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Cole,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Cole,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Cole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cole,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cole,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Cole,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cole,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cole,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cole,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cole,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cole,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Cole,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Cole,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cole,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cole,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cole,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Cole,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cole,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Cole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Cole,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cole,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cole,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Cole,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Cole,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cole,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cooper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cooper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Cooper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Cooper,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cooper,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Cooper,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Cooper,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Cooper,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Cooper,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cooper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cooper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Cooper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cooper,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Cooper,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Cooper,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cooper,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Cooper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cooper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Cooper,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Cooper,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Cooper,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Cooper,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Cooper,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cooper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Cooper,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Cooper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Cooper,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Cooper,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Cooper,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Cooper,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Crawford,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Crawford,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Crawford,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Crawford,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Crawford,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Crawford,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Crawford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Crawford,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Crawford,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Crawford,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Crawford,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Crawford,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Crawford,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Crawford,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Crawford,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Crawford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,Crawford,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Crawford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Crawford,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Crawford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Crawford,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Crawford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Crawford,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Crawford,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Crawford,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Crawford,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Crawford,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Crawford,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Crawford,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dade,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Dade,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Dade,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dade,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Dade,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Dade,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Dade,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dade,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dade,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Dade,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dade,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dade,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Dade,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dade,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Dade,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Dade,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dade,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Dade,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dade,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Dade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Dade,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dade,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dade,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Dade,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Dade,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dade,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Dallas,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Dallas,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dallas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Dallas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Dallas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Dallas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dallas,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dallas,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Dallas,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dallas,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dallas,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dallas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dallas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dallas,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Dallas,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Dallas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dallas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Dallas,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dallas,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Dallas,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dallas,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dallas,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dallas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Daviess,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Daviess,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Daviess,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Daviess,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Daviess,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Daviess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Daviess,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Daviess,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Daviess,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Daviess,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,DeKalb,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,DeKalb,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,DeKalb,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,DeKalb,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,DeKalb,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,DeKalb,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,DeKalb,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,DeKalb,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,DeKalb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dent,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dent,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dent,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dent,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dent,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Dent,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dent,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dent,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dent,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Dent,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dent,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Dent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Dent,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Dent,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Dent,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Dent,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Dent,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dent,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Douglas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Douglas,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Douglas,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Douglas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Douglas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Douglas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Douglas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Douglas,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Douglas,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Douglas,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Douglas,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Douglas,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Douglas,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Douglas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Douglas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Douglas,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Douglas,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Douglas,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Douglas,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Douglas,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Douglas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Douglas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Douglas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dunklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dunklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Dunklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Dunklin,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dunklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Dunklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dunklin,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Dunklin,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Dunklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Dunklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Dunklin,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Dunklin,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Dunklin,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Dunklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Dunklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Dunklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Franklin,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Franklin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Franklin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Franklin,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Franklin,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Franklin,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Franklin,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Franklin,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Franklin,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Franklin,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Franklin,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Franklin,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Franklin,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Franklin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Franklin,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Franklin,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Franklin,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Franklin,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Gasconade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Gasconade,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Gasconade,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Gasconade,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Gasconade,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gasconade,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Gasconade,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Gasconade,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Gasconade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gasconade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gasconade,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Gasconade,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Gasconade,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Gasconade,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Gasconade,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Gasconade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Gasconade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Gasconade,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Gasconade,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Gasconade,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Gasconade,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Gasconade,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Gasconade,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Gasconade,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Gasconade,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Gasconade,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Gasconade,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Gasconade,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Gasconade,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Gasconade,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Gentry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Gentry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Gentry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Gentry,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gentry,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Gentry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Gentry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Gentry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gentry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Gentry,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Gentry,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Gentry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Gentry,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Gentry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Gentry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Gentry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Greene,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Greene,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Greene,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Greene,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Greene,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Greene,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Greene,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Greene,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Greene,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Greene,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Greene,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Greene,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Greene,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Greene,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Greene,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Greene,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Greene,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Greene,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Greene,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Greene,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Greene,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Greene,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Greene,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Greene,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Grundy,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Grundy,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Grundy,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Grundy,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Grundy,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Grundy,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Grundy,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Harrison,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Harrison,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Harrison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Harrison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Harrison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Henry,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Henry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Henry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Henry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Henry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Henry,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Henry,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Henry,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Henry,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Henry,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Henry,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Henry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Henry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Henry,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Henry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Henry,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Henry,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Henry,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Henry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Henry,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Henry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Henry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Henry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Hickory,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Hickory,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Hickory,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Hickory,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Hickory,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Hickory,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Hickory,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Hickory,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Hickory,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Hickory,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Hickory,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Hickory,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Hickory,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Hickory,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Hickory,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Hickory,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Hickory,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Hickory,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Hickory,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Hickory,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Hickory,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Hickory,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Hickory,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Hickory,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Hickory,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Hickory,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Holt,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Holt,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Holt,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Holt,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Holt,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Holt,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Holt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Holt,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Holt,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Holt,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Holt,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Holt,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Holt,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Holt,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Holt,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Holt,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Howard,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howard,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howard,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Howard,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Howard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Howard,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Howard,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Howard,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howard,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Howard,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Howard,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howard,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howard,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Howard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Howell,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Howell,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Howell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Howell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Howell,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Howell,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howell,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Howell,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Howell,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Howell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Howell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Howell,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Howell,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Howell,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Howell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Howell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Howell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Howell,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Howell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Howell,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Howell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Iron,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Iron,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Iron,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Iron,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Iron,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Iron,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Iron,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Iron,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Iron,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Iron,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Iron,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Iron,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Iron,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jackson,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Jackson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jackson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Jackson,UnitedHealthcare,Local CCP,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,066,0,,,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Missouri,Jackson,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Jackson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Jackson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jackson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Jackson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jackson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jackson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Jackson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jackson,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Jackson,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Jackson,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Jackson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Jackson,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Jackson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Jackson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Jackson,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jackson,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Jackson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jackson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jasper,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Jasper,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Jasper,UnitedHealthcare,Local CCP,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,066,0,,,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jasper,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Jasper,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Jasper,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Jasper,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jasper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jasper,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Jasper,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jasper,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Jasper,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jasper,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jasper,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jasper,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Jasper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Jasper,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jasper,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Jasper,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jasper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Jasper,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jasper,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Jasper,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jasper,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jasper,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jasper,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,066,0,,,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jefferson,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Jefferson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jefferson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jefferson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Jefferson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Jefferson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Jefferson,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Jefferson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Jefferson,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Jefferson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Jefferson,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jefferson,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Jefferson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Johnson,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Johnson,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Johnson,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Johnson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Johnson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Johnson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Johnson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Johnson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Johnson,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Johnson,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Johnson,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Johnson,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Johnson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Johnson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Johnson,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Johnson,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Johnson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Knox,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Knox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Knox,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Knox,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Knox,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Knox,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Knox,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Knox,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Knox,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Knox,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Laclede,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Laclede,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Laclede,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Laclede,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Laclede,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Laclede,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Laclede,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Laclede,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Laclede,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Laclede,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Laclede,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Laclede,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Laclede,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Laclede,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Laclede,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Laclede,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Laclede,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Laclede,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Laclede,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Laclede,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Laclede,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Laclede,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Laclede,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Laclede,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Laclede,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Laclede,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Laclede,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Laclede,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Laclede,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Laclede,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Laclede,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Laclede,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lafayette,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Lafayette,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Lafayette,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lafayette,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lafayette,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lafayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Lafayette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lafayette,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lafayette,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lafayette,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Lafayette,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Lafayette,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Lafayette,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Lafayette,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Lafayette,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lafayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Lafayette,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lafayette,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Lafayette,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Lafayette,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lafayette,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lafayette,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Lafayette,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Lafayette,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Lafayette,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lafayette,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Lawrence,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Lawrence,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lawrence,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Lawrence,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lawrence,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lawrence,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lawrence,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lawrence,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lawrence,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Lawrence,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Lawrence,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Lawrence,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Lawrence,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Lawrence,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lawrence,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Lawrence,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lawrence,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lawrence,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Lawrence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Lawrence,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lawrence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Lewis,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lewis,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lewis,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Lewis,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lewis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lewis,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Lewis,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Lewis,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Lewis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Lewis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lewis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lincoln,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Lincoln,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Lincoln,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Lincoln,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Lincoln,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lincoln,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Lincoln,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lincoln,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lincoln,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Lincoln,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Lincoln,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Lincoln,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Lincoln,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Lincoln,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Lincoln,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Lincoln,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Lincoln,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lincoln,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Lincoln,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Lincoln,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Lincoln,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Linn,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Linn,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Linn,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Linn,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Linn,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Linn,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Linn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Linn,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Linn,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Linn,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Linn,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Linn,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Linn,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Livingston,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Livingston,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Livingston,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Livingston,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Livingston,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Livingston,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Livingston,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Livingston,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Livingston,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Livingston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Macon,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Macon,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Macon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Macon,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Macon,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Macon,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Macon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Macon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Macon,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Macon,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Macon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Macon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Macon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Madison,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Madison,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Madison,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Madison,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Madison,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Madison,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Madison,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Madison,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Madison,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Maries,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Maries,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Maries,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Maries,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Maries,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Maries,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Maries,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Maries,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Maries,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Maries,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Maries,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Maries,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Maries,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Maries,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Maries,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Maries,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Maries,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Maries,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Maries,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Maries,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Maries,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Maries,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Maries,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Maries,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Maries,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Maries,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Maries,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Maries,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Maries,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Marion,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Marion,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Marion,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Marion,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Marion,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Marion,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Marion,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Marion,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Marion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,McDonald,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,McDonald,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,McDonald,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,McDonald,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,McDonald,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,McDonald,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,McDonald,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,McDonald,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,McDonald,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,McDonald,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,McDonald,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,McDonald,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,McDonald,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,McDonald,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,McDonald,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,McDonald,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,McDonald,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,McDonald,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,McDonald,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,McDonald,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,McDonald,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,McDonald,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,McDonald,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,McDonald,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,McDonald,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,McDonald,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,McDonald,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,McDonald,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,McDonald,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Mercer,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mercer,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Mercer,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Mercer,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Mercer,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Mercer,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Mercer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Miller,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Miller,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Miller,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Miller,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Miller,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Miller,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Miller,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Miller,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Miller,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Miller,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Miller,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Miller,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Miller,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Miller,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Miller,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Miller,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Miller,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Miller,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Miller,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Miller,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Miller,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Miller,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Miller,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Miller,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Mississippi,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Mississippi,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Mississippi,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Mississippi,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mississippi,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mississippi,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Mississippi,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Mississippi,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Mississippi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Mississippi,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Mississippi,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Mississippi,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Mississippi,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Mississippi,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Mississippi,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Mississippi,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Mississippi,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Mississippi,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Mississippi,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Mississippi,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Mississippi,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Mississippi,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Mississippi,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Moniteau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Moniteau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Moniteau,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Moniteau,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Moniteau,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Moniteau,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Moniteau,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Moniteau,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Moniteau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Moniteau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Moniteau,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Moniteau,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Moniteau,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Moniteau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Moniteau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Moniteau,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Moniteau,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Moniteau,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Moniteau,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Moniteau,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Moniteau,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Moniteau,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Moniteau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Moniteau,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Moniteau,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Moniteau,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Moniteau,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Moniteau,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Moniteau,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Monroe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Monroe,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Monroe,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Monroe,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Monroe,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Montgomery,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Montgomery,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Montgomery,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Montgomery,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Montgomery,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Montgomery,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Montgomery,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Montgomery,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Montgomery,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Montgomery,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Montgomery,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Montgomery,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Montgomery,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Morgan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Morgan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Morgan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Morgan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Morgan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Morgan,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Morgan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Morgan,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Morgan,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Morgan,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Morgan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Morgan,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Morgan,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Morgan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Morgan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Morgan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,New Madrid,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,New Madrid,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,New Madrid,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,New Madrid,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,New Madrid,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,New Madrid,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,New Madrid,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,New Madrid,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,New Madrid,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,New Madrid,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,New Madrid,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,New Madrid,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,New Madrid,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,New Madrid,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,New Madrid,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,New Madrid,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,New Madrid,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,New Madrid,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,New Madrid,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,New Madrid,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,New Madrid,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,New Madrid,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Newton,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Newton,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Newton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Newton,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Newton,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Newton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Newton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Newton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Newton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Newton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Newton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Newton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Newton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Newton,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,Newton,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Newton,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Newton,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Newton,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Newton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Newton,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Newton,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Newton,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Newton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Newton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Newton,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Newton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Newton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Newton,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Newton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Nodaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Nodaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Nodaway,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Nodaway,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Nodaway,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Nodaway,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Nodaway,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Nodaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Nodaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Nodaway,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Nodaway,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Nodaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Nodaway,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Nodaway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Nodaway,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Nodaway,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Oregon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Oregon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Oregon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Oregon,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Oregon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Oregon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Oregon,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Oregon,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Oregon,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Oregon,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Oregon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Oregon,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Oregon,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Oregon,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Oregon,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Oregon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Oregon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Oregon,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Oregon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Oregon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Oregon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Osage,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Osage,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Osage,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Osage,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Osage,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Osage,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Osage,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Osage,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Osage,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Osage,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Osage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Osage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Osage,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Osage,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Osage,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Osage,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Osage,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Osage,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Osage,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Osage,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Osage,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Osage,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Osage,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Osage,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ozark,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Ozark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ozark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ozark,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Ozark,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Ozark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ozark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ozark,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ozark,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Ozark,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ozark,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ozark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ozark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ozark,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Ozark,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Ozark,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ozark,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ozark,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Ozark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Ozark,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Ozark,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Ozark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Ozark,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ozark,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pemiscot,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pemiscot,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pemiscot,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Pemiscot,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pemiscot,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Pemiscot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pemiscot,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pemiscot,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Pemiscot,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pemiscot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pemiscot,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pemiscot,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Pemiscot,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pemiscot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Pemiscot,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Pemiscot,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pemiscot,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Pemiscot,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Pemiscot,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Pemiscot,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pemiscot,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Perry,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Perry,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Perry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Perry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Perry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Perry,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Perry,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Perry,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Perry,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Perry,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Perry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Perry,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Perry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pettis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pettis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pettis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Pettis,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Pettis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pettis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pettis,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Pettis,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Pettis,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pettis,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pettis,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Pettis,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Pettis,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Pettis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Pettis,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Pettis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Pettis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pettis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Phelps,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Phelps,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Phelps,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Phelps,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Phelps,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Phelps,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Phelps,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Phelps,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Phelps,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Phelps,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Phelps,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Phelps,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Phelps,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Phelps,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Phelps,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Phelps,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Phelps,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Phelps,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Phelps,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Phelps,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Phelps,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Phelps,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Phelps,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Phelps,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Phelps,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Phelps,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pike,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pike,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Pike,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pike,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pike,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Pike,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pike,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Pike,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Pike,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Pike,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pike,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pike,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Pike,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Pike,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pike,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Platte,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Platte,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Platte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Platte,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Platte,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Platte,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Platte,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Platte,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Platte,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Platte,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Platte,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Platte,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Platte,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Platte,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Platte,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Platte,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Platte,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Platte,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Platte,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Platte,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Platte,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Platte,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Platte,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Platte,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Platte,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Platte,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Platte,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Platte,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Platte,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Platte,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Platte,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Polk,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Polk,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Polk,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Polk,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Polk,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Polk,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Polk,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Polk,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Polk,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Polk,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Polk,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Polk,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Polk,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Polk,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Polk,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Polk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Polk,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Polk,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Polk,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Polk,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Polk,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Polk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pulaski,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pulaski,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pulaski,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Pulaski,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Pulaski,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Pulaski,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Pulaski,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pulaski,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Pulaski,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Pulaski,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Pulaski,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Pulaski,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Pulaski,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Putnam,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Putnam,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Putnam,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Putnam,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Putnam,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Putnam,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Putnam,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Putnam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ralls,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ralls,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ralls,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Ralls,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ralls,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Ralls,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ralls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ralls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ralls,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ralls,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Ralls,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ralls,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ralls,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Ralls,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Ralls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Ralls,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Ralls,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Ralls,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ralls,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Randolph,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Randolph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Randolph,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Randolph,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Randolph,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Randolph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Randolph,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Randolph,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Randolph,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Randolph,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Randolph,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ray,Humana,Local CCP,Humana Gold Plus H0028-017 (HMO),HMO,No,,Enhanced Alternative,H0028,017,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Missouri,Ray,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ray,Humana,Local CCP,Humana Gold Plus H0028-054 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ray,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ray,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ray,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Ray,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ray,Blue Medicare Advantage,Local CCP,Blue KC Secure (HMO),HMO,No,,Enhanced Alternative,H1352,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ray,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Ray,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Ray,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Ray,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Ray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ray,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Ray,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Ray,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Ray,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Ray,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ray,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Ray,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Ray,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Ray,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Ray,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ray,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Ray,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ray,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Ray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Ray,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ray,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ray,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9460,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Missouri,Ray,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Ray,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Ray,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ray,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Reynolds,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Reynolds,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Reynolds,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Reynolds,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Reynolds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Reynolds,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Reynolds,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Reynolds,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Reynolds,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Reynolds,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Reynolds,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Reynolds,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Reynolds,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Reynolds,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Reynolds,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Reynolds,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Reynolds,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Reynolds,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Reynolds,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Reynolds,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Reynolds,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Reynolds,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Reynolds,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ripley,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Ripley,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ripley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ripley,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ripley,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Ripley,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ripley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ripley,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ripley,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Ripley,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Ripley,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Ripley,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ripley,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ripley,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Ripley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Ripley,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ripley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Saline,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Saline,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Saline,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Saline,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Saline,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Saline,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Saline,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Saline,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Saline,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Saline,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Saline,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Saline,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Saline,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Saline,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Saline,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Schuyler,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Schuyler,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Schuyler,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Schuyler,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Schuyler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Schuyler,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Schuyler,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Schuyler,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Schuyler,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Schuyler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Scotland,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Scotland,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Scotland,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Scotland,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scotland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scotland,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Scotland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scotland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Scotland,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Scotland,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Scotland,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Scotland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Scotland,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Scotland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Scott,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scott,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Scott,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scott,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Scott,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Scott,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Scott,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scott,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Scott,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Scott,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Scott,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Scott,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Shannon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Shannon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Shannon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Shannon,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shannon,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Shannon,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Shannon,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Shannon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Shannon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Shannon,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Shannon,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Shannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Shannon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Shannon,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Shannon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Shannon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Shannon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Shelby,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,029,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Shelby,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Shelby,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Shelby,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Shelby,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0008 (PPO),Local PPO,No,,Enhanced Alternative,H8768,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Shelby,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Shelby,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Shelby,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Shelby,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Charles,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Charles,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Charles,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,066,0,,,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Charles,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,St. Charles,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,St. Charles,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,St. Charles,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Charles,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Charles,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Charles,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,St. Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Charles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Charles,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Charles,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,St. Charles,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Charles,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Charles,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Charles,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Charles,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Charles,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Charles,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,St. Charles,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Charles,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Charles,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Charles,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Charles,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,St. Charles,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Charles,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Charles,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Charles,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,St. Charles,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Charles,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Charles,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Charles,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Missouri,St. Charles,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,St. Charles,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Charles,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Charles,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,St. Charles,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,St. Charles,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Charles,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Clair,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Clair,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Clair,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,St. Clair,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,St. Clair,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Clair,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Clair,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,St. Clair,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,St. Clair,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Clair,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,St. Clair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,St. Clair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,St. Clair,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,St. Clair,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,St. Clair,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Clair,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Francois,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Francois,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Francois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Francois,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Francois,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Francois,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,St. Francois,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Francois,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Francois,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Francois,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,St. Francois,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Francois,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Francois,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Francois,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Francois,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,St. Francois,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,St. Francois,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Francois,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Louis,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Louis,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,066,0,,,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,St. Louis,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,St. Louis,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,St. Louis,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,St. Louis,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Louis,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Louis,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Louis,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,St. Louis,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Louis,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Louis,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Louis,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,St. Louis,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Louis,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Louis,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Missouri,St. Louis,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,St. Louis,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,St. Louis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,St. Louis,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Louis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Louis City,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis City,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Louis City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,016,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,St. Louis City,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,St. Louis City,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,St. Louis City,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,St. Louis City,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis City,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis City,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis City,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,St. Louis City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,St. Louis City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,St. Louis City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis City,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis City,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Louis City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,St. Louis City,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,St. Louis City,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,St. Louis City,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,St. Louis City,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Louis City,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,St. Louis City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,St. Louis City,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis City,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,St. Louis City,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis City,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis City,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,St. Louis City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Louis City,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,St. Louis City,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Missouri,St. Louis City,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,St. Louis City,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis City,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,St. Louis City,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,St. Louis City,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,St. Louis City,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,St. Louis City,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ste. Genevieve,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Ste. Genevieve,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ste. Genevieve,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Ste. Genevieve,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Ste. Genevieve,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Ste. Genevieve,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Ste. Genevieve,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ste. Genevieve,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Ste. Genevieve,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Ste. Genevieve,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Ste. Genevieve,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Ste. Genevieve,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Ste. Genevieve,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Ste. Genevieve,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Ste. Genevieve,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Ste. Genevieve,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Ste. Genevieve,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Stoddard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Stoddard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Stoddard,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Stoddard,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Stoddard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Stoddard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stoddard,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stoddard,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Stoddard,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stoddard,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Stoddard,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Stoddard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Stoddard,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Stoddard,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Stoddard,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stoddard,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Stoddard,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Stoddard,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stoddard,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stoddard,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Stoddard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Stoddard,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Stoddard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Stone,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Stone,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Stone,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Stone,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Stone,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Stone,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Stone,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Stone,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Stone,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stone,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Stone,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stone,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Stone,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stone,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stone,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Stone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Stone,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Stone,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Stone,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Stone,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Stone,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Stone,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Stone,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Stone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Stone,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Stone,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Stone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Stone,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stone,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Stone,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Stone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Stone,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Stone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Sullivan,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Sullivan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Sullivan,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Sullivan,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Sullivan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Sullivan,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Sullivan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Taney,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Taney,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Taney,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Taney,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Taney,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Taney,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Taney,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Taney,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Taney,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Taney,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Taney,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Taney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Taney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Taney,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Taney,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Taney,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Taney,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Taney,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Taney,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Taney,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Taney,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Taney,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Taney,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Taney,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Taney,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Taney,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Taney,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Taney,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Taney,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Taney,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Taney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Taney,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Taney,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Taney,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Taney,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Taney,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Taney,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Texas,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Texas,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Texas,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Texas,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Texas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Texas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Texas,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Texas,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Texas,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Texas,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Texas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9335,001,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9335,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9335,005,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Missouri,Texas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9335,006,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Missouri,Texas,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Texas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Texas,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Texas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Vernon,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Vernon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Vernon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Vernon,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Vernon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,052,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (HMO),HMO,No,,Enhanced Alternative,H2663,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
Missouri,Vernon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Vernon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Vernon,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Vernon,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Vernon,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Vernon,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Vernon,Blue Medicare Advantage,Local CCP,Blue KC Essential (PPO),Local PPO,No,,Enhanced Alternative,H6502,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Vernon,Blue Medicare Advantage,Local CCP,Blue KC Simply Blue (PPO),Local PPO,No,,Enhanced Alternative,H6502,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Vernon,Blue Medicare Advantage,Local CCP,Blue KC Giveback (PPO),Local PPO,No,,Enhanced Alternative,H6502,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Missouri,Vernon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Vernon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Vernon,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Vernon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Vernon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Vernon,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Vernon,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Vernon,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Vernon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Vernon,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Vernon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Warren,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Warren,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Warren,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Warren,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Warren,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Warren,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Warren,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Warren,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Gold Advantage (HMO),HMO,No,,Enhanced Alternative,H2663,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Warren,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Warren,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Warren,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Warren,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Warren,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Warren,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,005,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Warren,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Warren,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Warren,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,Warren,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Warren,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Warren,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Warren,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Warren,Medica,Local CCP,Medica Advantage with SSM Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8019,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
Missouri,Warren,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Warren,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Warren,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Warren,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Warren,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Warren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Washington,Humana,Local CCP,Humana Gold Plus H0028-014 (HMO),HMO,No,,Enhanced Alternative,H0028,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Washington,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,013,0,,,$1.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,004,0,,,$0.00 ,($6.30),$6.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Washington,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Washington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,043,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC ST-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Washington,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Washington,Essence Healthcare,Local CCP,Essence Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H2610,006,0,,,$0.00 ,$53.80 ,$0.00 ,$53.80 ,$14.10 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Washington,Essence Healthcare,Local CCP,Essence Advantage Select (HMO),HMO,No,,Enhanced Alternative,H2610,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Option 2 (HMO),HMO,No,,Enhanced Alternative,H2663,002,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Option 1 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC ST-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Washington,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Washington,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Washington,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Washington,American Health Advantage of Missouri,Local CCP,American Health Advantage of Missouri Choice (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4490,003,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Washington,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Washington,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Washington,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Washington,Essence Healthcare,Local CCP,Essence Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6200,002,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Missouri,Washington,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,009,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Washington,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7389,010,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Missouri,Washington,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Washington,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Missouri,Washington,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Washington,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Washington,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Wayne,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Missouri,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier Preferred (HMO),HMO,No,,Enhanced Alternative,H2663,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plus (HMO),HMO,No,,Enhanced Alternative,H2663,057,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO),HMO,No,,Enhanced Alternative,H2663,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wayne,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wayne,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Wayne,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Wayne,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,006,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Wayne,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Wayne,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Wayne,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Wayne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Webster,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Webster,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Webster,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Webster,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Webster,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Webster,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Webster,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Webster,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H2610,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Webster,Cox HealthPlans,Local CCP,CoxHealth Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H2942,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Webster,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Webster,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Webster,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Webster,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Webster,Humana,Local CCP,Humana Community (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Webster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Webster,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Webster,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Webster,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Webster,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H6200,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Missouri,Webster,Healthy Blue,Local CCP,Healthy Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6316,002,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Missouri,Webster,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Webster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Webster,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Webster,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Missouri,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Webster,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Webster,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Webster,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Webster,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Webster,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Webster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Worth,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Worth,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Worth,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Worth,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO),HMO,No,,Enhanced Alternative,H2663,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Worth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,056,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,033,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Worth,Humana,Local CCP,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,164,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Missouri,Worth,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Worth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC KC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Worth,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Worth,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Worth,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Worth,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Wright,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0028,015,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Wright,Humana,Local CCP,Humana Gold Plus H0028-016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0028,016,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Missouri,Wright,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,002,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Wright,UnitedHealthcare,Local CCP,UHC Dual Complete MO-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,008,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Missouri,Wright,UnitedHealthcare,Local CCP,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,029,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Missouri,Wright,UnitedHealthcare,Local CCP,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H1608,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Missouri,Wright,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1664,001,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Missouri,Wright,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1664,005,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Missouri,Wright,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1664,006,0,,,$0.00 ,($14.10),$14.10 ,$0.00 ,$0.00 ,$395.00 ,1,,,2.5,3.0,3.0
Missouri,Wright,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1664,007,0,,Yes,$0.00 ,$21.50 ,$0.00 ,$21.50 ,$0.00 ,$425.00 ,1,,,2.5,3.0,3.0
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,021,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2663,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H2663,064,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Missouri,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,031,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wright,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,018,0,,Yes,$0.00 ,$37.90 ,$0.00 ,$37.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wright,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Missouri,Wright,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,047,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wright,Humana,Local CCP,Humana Gold Plus H4623-001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4623,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Missouri,Wright,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (PPO),Local PPO,No,,Enhanced Alternative,H4909,015,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.30 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Wright,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Missouri,Wright,Humana,Local CCP,HumanaChoice H5216-032 (PPO),Local PPO,No,,Enhanced Alternative,H5216,032,0,,,$3.50 ,$57.50 ,$0.00 ,$57.50 ,$14.80 ,$200.00 ,1,,,4.5,4.0,4.5
Missouri,Wright,Humana,Local CCP,HumanaChoice H5216-318 (PPO),Local PPO,No,,Enhanced Alternative,H5216,318,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Missouri,Wright,Aetna Medicare,Local CCP,Aetna Medicare Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5325,004,0,,Yes,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Missouri,Wright,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Wright,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7518,003,0,,Yes,$0.00 ,$28.50 ,$0.00 ,$28.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Missouri,Wright,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7518,004,0,,,$19.00 ,($9.70),$9.70 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Missouri,Wright,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Missouri,Wright,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MO-0009 (PPO),Local PPO,No,,Enhanced Alternative,H8768,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Missouri,Wright,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,001,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wright,Provider Partners Health Plans,Local CCP,Provider Partners Missouri Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9191,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Missouri,Wright,Humana,Regional CCP,HumanaChoice R1532-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R1532,002,0,,,$10.10 ,$51.90 ,$0.00 ,$51.90 ,$12.20 ,$545.00 ,1,,,3.5,3.0,3.0
Missouri,Wright,UnitedHealthcare,Regional CCP,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R3444,008,0,,Yes,$0.00 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Missouri,Wright,UnitedHealthcare,Regional CCP,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R3444,009,0,,,$9.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.0,3.5
Missouri,Wright,UnitedHealthcare,Regional CCP,UHC Medicare Advantage AM-0002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3444,012,0,,,$16.70 ,$54.30 ,$0.00 ,$54.30 ,$14.30 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Montana,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Montana,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Montana,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Montana,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Montana,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Montana,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Montana,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Montana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Montana,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Montana,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Montana,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Montana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Montana,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Montana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Montana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Montana,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Beaverhead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Beaverhead,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Beaverhead,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Beaverhead,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Beaverhead,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Beaverhead,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Beaverhead,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Beaverhead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Beaverhead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Big Horn,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Big Horn,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Big Horn,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Big Horn,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Big Horn,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Big Horn,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Big Horn,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Big Horn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Big Horn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Broadwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Broadwater,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Broadwater,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Broadwater,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Broadwater,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Broadwater,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Broadwater,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Broadwater,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Broadwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Broadwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Carbon,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Carbon,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Carbon,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Carbon,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Carbon,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Carbon,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Carbon,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Carbon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Carter,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Cascade,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Cascade,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Cascade,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Cascade,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Cascade,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Cascade,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Cascade,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Cascade,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Chouteau,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Chouteau,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Chouteau,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Chouteau,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Chouteau,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Chouteau,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Chouteau,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Chouteau,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Custer,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Custer,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Daniels,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Dawson,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Deer Lodge,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Deer Lodge,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Deer Lodge,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Deer Lodge,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Deer Lodge,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Deer Lodge,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Deer Lodge,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Deer Lodge,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Deer Lodge,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Deer Lodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Deer Lodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Fallon,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Fergus,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Fergus,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Fergus,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Fergus,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Fergus,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Fergus,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Fergus,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Flathead,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Flathead,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Flathead,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Flathead,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Flathead,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Flathead,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Flathead,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Flathead,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Flathead,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Flathead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Flathead,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Gallatin,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Gallatin,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Gallatin,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Gallatin,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Gallatin,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Gallatin,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Gallatin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Garfield,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Glacier,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Glacier,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Glacier,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Glacier,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Glacier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Glacier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Golden Valley,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Golden Valley,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Golden Valley,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Golden Valley,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Golden Valley,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Golden Valley,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Golden Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Golden Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Granite,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Granite,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Granite,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Granite,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Granite,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Granite,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Granite,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Granite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Granite,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Hill,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Jefferson,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Jefferson,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Jefferson,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Jefferson,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Jefferson,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Jefferson,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Judith Basin,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Judith Basin,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Judith Basin,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Judith Basin,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Judith Basin,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Judith Basin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Judith Basin,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Judith Basin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Judith Basin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lake,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Lake,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lake,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lake,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lake,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Lake,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lewis and Clark,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lewis and Clark,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lewis and Clark,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lewis and Clark,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lewis and Clark,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Lewis and Clark,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Lewis and Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Liberty,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Liberty,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Liberty,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Liberty,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Liberty,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lincoln,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Lincoln,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lincoln,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lincoln,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Lincoln,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Lincoln,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Lincoln,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Madison,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Madison,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Madison,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Madison,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Madison,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,McCone,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,McCone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,McCone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Meagher,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Meagher,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Meagher,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Meagher,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Meagher,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Meagher,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Meagher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Meagher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Mineral,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Mineral,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Mineral,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Mineral,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Mineral,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Mineral,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Mineral,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Mineral,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Mineral,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Missoula,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Missoula,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 17 (PPO),Local PPO,No,,Enhanced Alternative,H4754,017,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,4.0,3.5
Montana,Missoula,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Missoula,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Missoula,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Missoula,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Missoula,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Missoula,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Musselshell,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Musselshell,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Musselshell,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Musselshell,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Musselshell,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Musselshell,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Musselshell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Musselshell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Park,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Park,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Park,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Park,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Park,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Park,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Park,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Petroleum,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Phillips,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Pondera,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Pondera,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Pondera,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Pondera,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Pondera,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Pondera,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Pondera,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Pondera,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Powder River,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Powell,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Powell,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Powell,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Powell,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Powell,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Powell,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Powell,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Powell,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Powell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Prairie,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Ravalli,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Ravalli,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Ravalli,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Ravalli,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Ravalli,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Ravalli,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Ravalli,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Ravalli,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Ravalli,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Ravalli,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Ravalli,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Roosevelt,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Rosebud,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Rosebud,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Rosebud,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Rosebud,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Rosebud,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Rosebud,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sanders,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sanders,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Sanders,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sanders,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sanders,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sanders,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Sanders,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Sanders,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Sanders,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Sanders,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Sheridan,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Sheridan,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Sheridan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Sheridan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Silver Bow,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Silver Bow,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Silver Bow,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Silver Bow,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Silver Bow,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Silver Bow,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Silver Bow,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Silver Bow,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Stillwater,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Stillwater,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Stillwater,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Stillwater,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Stillwater,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Stillwater,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Stillwater,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Stillwater,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Stillwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Stillwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sweet Grass,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Sweet Grass,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Sweet Grass,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sweet Grass,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sweet Grass,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Sweet Grass,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Sweet Grass,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Sweet Grass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Sweet Grass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Teton,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Teton,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Teton,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Teton,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Teton,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Teton,Humana,Local CCP,HumanaChoice H5525-027 (PPO),Local PPO,No,,Enhanced Alternative,H5525,027,0,,,$32.10 ,$57.90 ,$0.00 ,$57.90 ,$15.70 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Montana,Teton,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Teton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Teton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Montana,Teton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Teton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Toole,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Toole,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Toole,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Toole,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Treasure,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Treasure,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Treasure,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Treasure,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Treasure,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Treasure,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Treasure,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Treasure,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Valley,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Montana,Wheatland,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Wheatland,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Wheatland,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Wheatland,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Wheatland,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Wheatland,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Wheatland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Wheatland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Wibaux,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Wibaux,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Wibaux,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H0107,003,0,,,$21.70 ,$11.30 ,$0.00 ,$11.30 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Optimum (PPO),Local PPO,No,,Enhanced Alternative,H0107,004,0,,,$99.30 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H0107,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H0107,006,0,,,$202.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H0107,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Yellowstone,Blue Cross and Blue Shield of Montana,Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H0107,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,3.5
Montana,Yellowstone,UnitedHealthcare,Local CCP,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,030,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Montana,Yellowstone,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 29 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
Montana,Yellowstone,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Montana,Yellowstone,Humana,Local CCP,HumanaChoice H5216-089 (PPO),Local PPO,No,,Enhanced Alternative,H5216,089,0,,,$26.80 ,$45.20 ,$0.00 ,$45.20 ,$3.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Montana,Yellowstone,Humana,Local CCP,HumanaChoice H5216-255 (PPO),Local PPO,No,,Enhanced Alternative,H5216,255,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
Montana,Yellowstone,Humana,Local CCP,HumanaChoice H5216-364 (PPO),Local PPO,No,,Enhanced Alternative,H5216,364,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Montana,Yellowstone,Humana,Local CCP,HumanaChoice H5216-365 (PPO),Local PPO,No,,Enhanced Alternative,H5216,365,0,,,$139.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Montana,Yellowstone,Humana,Local CCP,Humana Gold Plus H6622-007 (HMO),HMO,No,,Enhanced Alternative,H6622,007,0,,,$5.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.0,4.0
Montana,Yellowstone,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Montana,Yellowstone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,007,0,,,$7.60 ,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Montana,Yellowstone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC MT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Nebraska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Nebraska,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Nebraska,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Nebraska,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Nebraska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nebraska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Nebraska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Nebraska,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Nebraska,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Adams,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Adams,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Adams,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Adams,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Adams,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Adams,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Adams,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Adams,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Adams,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Adams,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Adams,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Adams,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Adams,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Adams,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Antelope,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Antelope,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Antelope,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Antelope,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Antelope,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Antelope,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Antelope,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Antelope,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Antelope,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Antelope,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Antelope,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Antelope,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Antelope,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Antelope,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Antelope,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Antelope,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Antelope,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Arthur,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Arthur,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Arthur,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Banner,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Banner,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Banner,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Banner,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Banner,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Banner,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Banner,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Banner,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Banner,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Nebraska,Blaine,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Blaine,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Blaine,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Blaine,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Blaine,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Blaine,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Blaine,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Blaine,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Blaine,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Boone,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Boone,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Boone,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Boone,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Boone,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Boone,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Boone,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Boone,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boone,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Boone,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Boone,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Boone,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Boone,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Boone,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Boone,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Box Butte,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Nebraska,Boyd,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Boyd,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Boyd,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Boyd,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Boyd,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Boyd,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Boyd,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Boyd,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Boyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Buffalo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Buffalo,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Buffalo,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Buffalo,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Buffalo,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Buffalo,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Buffalo,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Buffalo,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Buffalo,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Buffalo,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Burt,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Burt,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Burt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Burt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Burt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Burt,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Burt,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Burt,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Burt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Burt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Burt,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Burt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Burt,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Burt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Burt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Burt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Burt,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Burt,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Burt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Burt,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Burt,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Burt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Burt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Butler,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Butler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Butler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Butler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Butler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Butler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Butler,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Butler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Butler,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Butler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Butler,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Butler,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Butler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Butler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Butler,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Butler,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Butler,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Cass,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cass,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Cass,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Cass,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Cass,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Cass,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Cass,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cass,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Cass,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Cass,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Cass,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Cass,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Cass,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cass,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cass,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cass,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cass,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cass,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cass,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cass,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cedar,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Cedar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Cedar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Cedar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Cedar,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Cedar,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Cedar,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cedar,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cedar,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Cedar,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cedar,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cedar,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cedar,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cedar,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cedar,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cedar,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cedar,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Chase,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Chase,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Chase,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cheyenne,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Cheyenne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Clay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Clay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Clay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Clay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Clay,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Clay,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Clay,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Clay,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Clay,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Clay,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Clay,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Clay,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Clay,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Clay,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Colfax,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Colfax,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Colfax,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Colfax,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Colfax,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Colfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Colfax,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Colfax,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Colfax,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Colfax,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Colfax,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Colfax,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Colfax,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Colfax,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Colfax,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Colfax,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Colfax,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Colfax,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cuming,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Cuming,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cuming,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Cuming,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Cuming,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Cuming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Cuming,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Cuming,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Cuming,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Cuming,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Cuming,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Cuming,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Cuming,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Cuming,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Cuming,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cuming,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Cuming,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cuming,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Cuming,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cuming,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Cuming,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Custer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Custer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Custer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Custer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Custer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Custer,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Custer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Custer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Custer,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Custer,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Custer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Custer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Custer,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Custer,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Custer,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dakota,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dakota,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dakota,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dakota,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dakota,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dakota,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dakota,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dakota,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Dakota,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Dakota,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dakota,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dakota,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dawson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Dawson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Dawson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Dawson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Dawson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Dawson,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Dawson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Dawson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Dawson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Deuel,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Deuel,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Deuel,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Dixon,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dixon,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dixon,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dixon,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dixon,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dixon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Dixon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Dixon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Dixon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Dixon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Dixon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Dixon,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dixon,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dixon,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Dixon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Dixon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dixon,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dixon,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dixon,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dixon,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dixon,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dodge,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dodge,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dodge,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Dodge,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Dodge,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Dodge,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Dodge,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Dodge,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Dodge,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Dodge,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Dodge,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Dodge,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Dodge,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Dodge,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Dodge,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dodge,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Dodge,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Dodge,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Dodge,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dodge,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dodge,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Douglas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Douglas,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Douglas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Douglas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Douglas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Douglas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Douglas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Douglas,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Douglas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Douglas,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Douglas,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Douglas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Douglas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Douglas,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Douglas,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Douglas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Douglas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Douglas,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Douglas,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Douglas,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Dundy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Dundy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Dundy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Fillmore,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Fillmore,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Fillmore,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Fillmore,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Fillmore,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Fillmore,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Fillmore,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Fillmore,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Fillmore,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Fillmore,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Fillmore,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Franklin,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Franklin,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Franklin,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Franklin,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Franklin,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Franklin,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Franklin,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Frontier,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Frontier,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Frontier,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Frontier,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Frontier,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Frontier,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Frontier,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Frontier,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Frontier,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Frontier,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Frontier,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Frontier,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Frontier,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Frontier,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Frontier,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Furnas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Furnas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Furnas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Furnas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Furnas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Furnas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Furnas,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Furnas,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Furnas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Furnas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Furnas,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Furnas,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Furnas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Furnas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Furnas,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Furnas,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Furnas,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Gage,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Gage,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gage,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Gage,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Gage,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Gage,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Gage,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Gage,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Gage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Gage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Gage,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Gage,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Gage,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Gage,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Gage,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Gage,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Gage,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Gage,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gage,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Gage,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Gage,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Gage,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Garden,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Garden,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Garden,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Garfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Garfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Garfield,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Garfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Garfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Garfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Garfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Garfield,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Garfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Garfield,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Garfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Garfield,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Garfield,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Garfield,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Garfield,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Garfield,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Gosper,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Gosper,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Gosper,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Gosper,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Gosper,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Gosper,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Gosper,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gosper,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Gosper,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Gosper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Gosper,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Gosper,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Gosper,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Gosper,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Gosper,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Grant,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Grant,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Grant,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Greeley,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Greeley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Greeley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Greeley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Greeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Greeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Greeley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Greeley,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Greeley,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Greeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Greeley,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Greeley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Greeley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Greeley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Greeley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Greeley,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Greeley,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Greeley,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Hall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Hall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Hall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Hall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Hall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Hall,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Hall,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Hall,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Hall,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hall,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Hall,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Hall,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hall,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hall,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hall,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hall,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Hamilton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Hamilton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Hamilton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Hamilton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Hamilton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hamilton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hamilton,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hamilton,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hamilton,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Harlan,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Harlan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Harlan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Harlan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Harlan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Harlan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Harlan,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Harlan,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Harlan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Harlan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Harlan,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Harlan,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Harlan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Harlan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Harlan,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Harlan,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Harlan,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hayes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Hayes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Hayes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Hayes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Hayes,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Hayes,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Hayes,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Hayes,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hayes,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Hitchcock,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Hitchcock,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Hitchcock,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hitchcock,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Holt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Holt,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Holt,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Holt,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Holt,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Holt,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Holt,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Holt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Holt,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Holt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Holt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Holt,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Holt,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Holt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Holt,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Holt,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Holt,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Holt,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Hooker,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Hooker,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Hooker,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Howard,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Howard,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Howard,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Howard,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Howard,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Howard,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Howard,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Howard,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Howard,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Howard,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Howard,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Howard,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Howard,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Howard,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Howard,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Jefferson,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Jefferson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Jefferson,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Jefferson,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Jefferson,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Jefferson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Jefferson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Jefferson,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Jefferson,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Jefferson,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Johnson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Johnson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Johnson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Johnson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Johnson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Johnson,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Johnson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Johnson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Johnson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Johnson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Kearney,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Kearney,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Kearney,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Kearney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Kearney,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Kearney,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Kearney,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Kearney,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Kearney,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Kearney,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Kearney,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Kearney,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Kearney,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Kearney,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Kearney,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Kearney,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Kearney,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Keith,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Keith,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Keith,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Keith,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Keith,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Keith,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Keith,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Keith,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Keith,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Kimball,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Kimball,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Knox,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Knox,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Knox,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Knox,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Knox,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Knox,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Knox,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Knox,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Knox,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Knox,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Knox,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Knox,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Knox,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Lancaster,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Lancaster,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Lancaster,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Lancaster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Lancaster,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Lancaster,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Lancaster,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Lancaster,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Lancaster,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Lancaster,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Lancaster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Lancaster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Lancaster,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Lancaster,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Lancaster,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Lincoln,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Lincoln,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Lincoln,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Lincoln,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Logan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Logan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Logan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Logan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Logan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Logan,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Logan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Logan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Logan,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Loup,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Loup,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Loup,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Loup,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Loup,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Loup,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Madison,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Madison,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Madison,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Madison,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Madison,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Madison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Madison,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Madison,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Madison,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Madison,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Madison,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Madison,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Madison,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,McPherson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,McPherson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,McPherson,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Merrick,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Merrick,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Merrick,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Merrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Merrick,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Merrick,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Merrick,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Merrick,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Merrick,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Merrick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Merrick,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Merrick,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Merrick,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Merrick,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Merrick,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Merrick,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Merrick,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Morrill,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Morrill,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Morrill,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Nebraska,Nance,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Nance,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nance,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nance,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Nance,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Nance,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Nance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nance,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Nance,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Nance,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Nance,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nance,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Nance,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Nance,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Nance,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nance,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nance,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nance,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nance,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nance,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nance,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nance,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nemaha,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Nemaha,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Nemaha,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Nemaha,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nemaha,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Nemaha,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Nemaha,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nemaha,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nemaha,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nemaha,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nemaha,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nemaha,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nemaha,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nemaha,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Nuckolls,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Nuckolls,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Nuckolls,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Nuckolls,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nuckolls,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Nuckolls,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nuckolls,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Nuckolls,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nuckolls,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Nuckolls,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Otoe,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Otoe,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Otoe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Otoe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Otoe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Otoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Otoe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Otoe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Otoe,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Otoe,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Otoe,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Otoe,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Otoe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Otoe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Otoe,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Otoe,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Otoe,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Otoe,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Pawnee,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Pawnee,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pawnee,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Pawnee,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Pawnee,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Pawnee,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Pawnee,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Perkins,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Perkins,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Perkins,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Perkins,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Perkins,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Perkins,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Perkins,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Perkins,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Perkins,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Phelps,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Phelps,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Phelps,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Phelps,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Phelps,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Phelps,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Phelps,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Phelps,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Phelps,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Phelps,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Phelps,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Phelps,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Phelps,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Phelps,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Phelps,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Phelps,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Phelps,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Pierce,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Pierce,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Pierce,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Pierce,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Pierce,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Pierce,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Pierce,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Pierce,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Pierce,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Pierce,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Pierce,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Pierce,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Pierce,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Pierce,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Pierce,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Platte,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Platte,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Platte,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Platte,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Platte,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Platte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Platte,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Platte,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Platte,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Platte,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Platte,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Platte,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Platte,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Polk,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Polk,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Polk,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Polk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Polk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Polk,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Polk,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Polk,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Polk,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Polk,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Polk,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Polk,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Polk,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Red Willow,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Red Willow,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Red Willow,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Richardson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Richardson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Richardson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Richardson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Richardson,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Richardson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Rock,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Rock,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Rock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Saline,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Saline,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Saline,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Saline,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Saline,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Saline,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Saline,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Saline,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Saline,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Saline,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Saline,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Saline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saline,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Saline,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sarpy,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Sarpy,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Sarpy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Sarpy,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Sarpy,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Sarpy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Sarpy,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Sarpy,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Sarpy,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Sarpy,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sarpy,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Sarpy,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Sarpy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sarpy,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sarpy,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Sarpy,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Sarpy,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Saunders,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Saunders,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Saunders,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Saunders,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Saunders,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Saunders,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Saunders,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Saunders,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Saunders,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Saunders,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Saunders,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Saunders,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Saunders,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Saunders,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Saunders,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Saunders,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Saunders,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Saunders,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Saunders,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Saunders,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Saunders,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Saunders,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Saunders,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Scotts Bluff,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Scotts Bluff,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Scotts Bluff,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Seward,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Seward,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Seward,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Seward,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Seward,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Seward,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Seward,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Seward,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Seward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Seward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Seward,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Seward,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Seward,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Seward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Seward,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Seward,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Seward,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Seward,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Seward,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Seward,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Seward,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Seward,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Seward,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sheridan,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Sherman,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Sherman,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Sherman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Sherman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Sherman,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Sherman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Sherman,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Sherman,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Sherman,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Sherman,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Sherman,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Sherman,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Sherman,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sherman,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Sherman,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Sherman,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Sherman,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Sioux,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Sioux,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Stanton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Stanton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Stanton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Stanton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Stanton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Stanton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Stanton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Stanton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Stanton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Stanton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Stanton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Stanton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Stanton,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Stanton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Stanton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Stanton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Stanton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Stanton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Stanton,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Stanton,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Stanton,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Stanton,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thayer,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Thayer,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Thayer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Thayer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Thayer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Thayer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Thayer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Thayer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Thayer,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Thayer,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Thayer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Thayer,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Thayer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Thayer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thayer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thayer,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thayer,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thayer,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thayer,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thomas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Thomas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thomas,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thurston,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Thurston,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Thurston,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Thurston,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Thurston,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Thurston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Thurston,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thurston,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Thurston,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thurston,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Thurston,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Valley,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Valley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Valley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Valley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Valley,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Valley,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Valley,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Valley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Valley,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Valley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Valley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Valley,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Valley,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Valley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Valley,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Valley,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Valley,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Valley,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Washington,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Washington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Washington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Washington,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Washington,Humana,Local CCP,HumanaChoice H5216-014 (PPO),Local PPO,No,,Enhanced Alternative,H5216,014,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Nebraska,Washington,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nebraska,Washington,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Washington,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Washington,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Washington,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Washington,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Washington,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Washington,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Washington,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Wayne,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Wayne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Wayne,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Wayne,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Wayne,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wayne,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Wayne,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Wayne,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Wayne,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Wayne,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wayne,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wayne,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Webster,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Webster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Webster,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Webster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Webster,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Webster,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Webster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Webster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Webster,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Webster,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,Webster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Webster,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Webster,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Webster,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Webster,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wheeler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,Wheeler,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wheeler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,Wheeler,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,Wheeler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,Wheeler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,Wheeler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Wheeler,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,Wheeler,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wheeler,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,011,0,,,$123.50 ,$8.50 ,$0.00 ,$8.50 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,Wheeler,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,015,0,,,$11.60 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
Nebraska,York,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,007,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,York,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,York,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,003,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,York,UnitedHealthcare,Local CCP,UHC Dual Complete NE-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0169,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Nebraska,York,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,050,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,York,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1215,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.0,2.5,3.0
Nebraska,York,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1215,002,0,,,$0.00 ,($7.50),$7.50 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Nebraska,York,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1215,003,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Nebraska,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nebraska,York,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1395,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
Nebraska,York,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H1395,002,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.0,2.5
Nebraska,York,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H1395,003,0,,Yes,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$440.00 ,1,,,2.5,3.0,2.5
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H1608,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NE-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2802,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Nebraska,York,UnitedHealthcare,Local CCP,UHC Dual Complete NE-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2802,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Nebraska,York,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Core (HMO),HMO,No,,Enhanced Alternative,H3170,003,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Nebraska,York,Humana,Local CCP,HumanaChoice H5216-254 (PPO),Local PPO,No,,Enhanced Alternative,H5216,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nebraska,York,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,340,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7149,006,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,008,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Nebraska,York,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H7149,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nebraska,York,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7511,001,0,,Yes,$0.00 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,York,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H7511,002,0,,,$53.20 ,$11.80 ,$0.00 ,$11.80 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Nebraska,York,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Access PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nebraska,York,Blue Cross and Blue Shield of Nebraska,Local CCP,Blue Cross Blue Shield Nebraska MA Connect PPO (PPO),Local PPO,No,,Enhanced Alternative,H8181,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Nevada,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,093,0,Yes,Yes,,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Nevada,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,161,0,Yes,,,($20.20),$20.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Nevada,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,232,0,Yes,,,$34.50 ,$44.50 ,$79.00 ,$46.60 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Nevada,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,062,0,,,,$97.60 ,$0.00 ,$97.60 ,$65.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,063,0,,,,$90.80 ,$30.00 ,$120.80 ,$88.40 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,058,0,Yes,,,$36.70 ,$0.00 ,$36.70 ,$4.30 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,059,0,Yes,,,$41.80 ,$59.50 ,$101.30 ,$68.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,204,0,Yes,,,$9.80 ,$2.60 ,$12.40 ,$2.60 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,143,0,Yes,,,$49.80 ,$0.00 ,$49.80 ,$17.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,274,0,Yes,,,$67.20 ,$11.80 ,$79.00 ,$46.60 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,379,0,Yes,,,($4.30),$17.20 ,$12.90 ,$12.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,028,0,Yes,,,$87.00 ,$30.50 ,$117.50 ,$85.10 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Nevada,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,112,0,Yes,,,$37.20 ,$0.00 ,$37.20 ,$4.80 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Nevada,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,175,0,Yes,,,$89.50 ,$21.20 ,$110.70 ,$78.30 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Nevada,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,208,0,Yes,,,$44.50 ,$5.40 ,$49.90 ,$17.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Nevada,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,373,0,Yes,,,$78.00 ,$0.00 ,$78.00 ,$45.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,410,0,Yes,,,$47.90 ,$6.20 ,$54.10 ,$21.70 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Nevada,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,028,0,,,,$97.20 ,$0.00 ,$97.20 ,$64.80 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Nevada,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,098,0,,,,$65.50 ,$16.30 ,$81.80 ,$49.40 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Nevada,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,131,0,,,,($5.20),$28.50 ,$23.30 ,$23.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Nevada,Carson City,Senior Care Plus,Local CCP,Senior Care Plus Essential plan (HMO),HMO,No,,Enhanced Alternative,H2960,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Carson City,Senior Care Plus,Local CCP,Senior Care Plus Select Plan (HMO),HMO,No,,Enhanced Alternative,H2960,018,0,,,$66.00 ,$104.00 ,$0.00 ,$104.00 ,$71.60 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Carson City,Senior Care Plus,Local CCP,Renown Preferred Plan by Senior Care Plus (HMO),HMO,No,,Enhanced Alternative,H2960,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Carson City,Senior Care Plus,Local CCP,Senior Care Plus Extensive Duals Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2960,024,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.0,3.0,3.5
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Carson City,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Carson City,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Carson City,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Carson City,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Carson City,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Carson City,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Carson City,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,017,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Carson City,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Carson City,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Carson City,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Carson City,Champion Health Plan of Nevada,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Carson City,Champion Health Plan of Nevada,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,002,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Carson City,Champion Health Plan of Nevada,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,003,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Carson City,Humana,Local CCP,Humana Gold Plus H6622-075 (HMO),HMO,No,,Enhanced Alternative,H6622,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Carson City,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,079,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nevada,Carson City,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Carson City,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Carson City,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Carson City,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Churchill,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Churchill,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Churchill,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Churchill,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Churchill,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Churchill,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Churchill,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,017,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Churchill,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Churchill,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Churchill,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Churchill,Champion Health Plan of Nevada,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Churchill,Champion Health Plan of Nevada,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,002,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Churchill,Champion Health Plan of Nevada,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,003,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Churchill,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Churchill,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Churchill,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,031,0,,,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Clark,UnitedHealthcare,Local CCP,UHC Medicare Advantage NV-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Clark,UnitedHealthcare,Local CCP,UHC Complete Care NV-0004 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC NV-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H0978,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0978,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0978,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H0978,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H0978,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0978,010,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Clark,SCAN Health Plan,Local CCP,SCAN MyChoice (HMO),HMO,No,,Enhanced Alternative,H0978,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1360,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,4.0,3.5
Nevada,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,012,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Nevada,Clark,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Nevada,Clark,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Nevada,Clark,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Molina Healthcare of Nevada,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2478,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Molina Healthcare of Nevada,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2478,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Senior Care Plus,Local CCP,Senior Care Plus Complete Plan (HMO),HMO,No,,Enhanced Alternative,H2960,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Prime Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,157,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4346,006,0,,,$0.00 ,($20.30),$20.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H4346,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H4346,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,025,0,,Yes,$0.00 ,$15.90 ,$0.00 ,$15.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Nevada,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem I Carelon Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,026,0,,Yes,$0.00 ,$19.10 ,$0.00 ,$19.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Dual Prime Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,011,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Clark,Humana,Local CCP,HumanaChoice H5216-037 (PPO),Local PPO,No,,Enhanced Alternative,H5216,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$225.00 ,1,,,4.5,4.0,4.5
Nevada,Clark,Humana,Local CCP,HumanaChoice H5216-141 (PPO),Local PPO,No,,Enhanced Alternative,H5216,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Clark,Humana,Local CCP,HumanaChoice H5216-281 (PPO),Local PPO,No,,Enhanced Alternative,H5216,281,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nevada,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,022,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Clark,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,299,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,014,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Clark,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6446,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Clark,Champion Health Plan of Nevada,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Champion Health Plan of Nevada,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,002,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Champion Health Plan of Nevada,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,003,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Humana,Local CCP,Humana Gold Plus H6622-028 (HMO),HMO,No,,Enhanced Alternative,H6622,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Nevada,Clark,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,029,0,,,$0.00 ,($63.70),$63.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Clark,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,030,0,,,$0.00 ,($32.40),$32.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Clark,Humana,Local CCP,Humana Gold Plus H6622-056 (HMO),HMO,No,,Enhanced Alternative,H6622,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,079,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nevada,Clark,Humana,Local CCP,Humana Gold Plus H6622-082 (HMO),HMO,No,,Enhanced Alternative,H6622,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Nevada,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Nevada,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0007 (PPO),Local PPO,No,,Enhanced Alternative,H7404,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Clark,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Douglas,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Douglas,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Douglas,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Douglas,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Douglas,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Douglas,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,017,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Douglas,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Douglas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Douglas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Douglas,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Douglas,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Douglas,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Douglas,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Nevada,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,033,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Lyon,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Lyon,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Lyon,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Lyon,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Lyon,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Lyon,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Lyon,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,017,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Lyon,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Lyon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Lyon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Lyon,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Lyon,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Lyon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Lyon,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Mineral,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Mineral,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Mineral,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Nye,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Nye,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,031,0,,,$0.00 ,$31.70 ,$0.00 ,$31.70 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Nye,UnitedHealthcare,Local CCP,UHC Medicare Advantage NV-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Nye,UnitedHealthcare,Local CCP,UHC Complete Care NV-0004 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Nye,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC NV-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Nye,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H0978,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0978,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0978,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H0978,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,SCAN Health Plan,Local CCP,SCAN Compass (HMO),HMO,No,,Enhanced Alternative,H0978,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1360,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,4.0,3.5
Nevada,Nye,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,012,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Nevada,Nye,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Nevada,Nye,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Nevada,Nye,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Nye,Senior Care Plus,Local CCP,Senior Care Plus Complete Plan (HMO),HMO,No,,Enhanced Alternative,H2960,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,094,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Prime Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,151,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,157,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Dual Prime Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,011,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Nye,Humana,Local CCP,HumanaChoice H5216-037 (PPO),Local PPO,No,,Enhanced Alternative,H5216,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$225.00 ,1,,,4.5,4.0,4.5
Nevada,Nye,Humana,Local CCP,HumanaChoice H5216-141 (PPO),Local PPO,No,,Enhanced Alternative,H5216,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Nye,Humana,Local CCP,HumanaChoice H5216-281 (PPO),Local PPO,No,,Enhanced Alternative,H5216,281,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Nevada,Nye,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,022,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Nye,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,299,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Nye,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,014,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Nye,Wellcare by Allwell,Local CCP,Wellcare Specialty No Premium (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6446,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.5,3.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus H6622-028 (HMO),HMO,No,,Enhanced Alternative,H6622,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,029,0,,,$0.00 ,($63.70),$63.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus Lung (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,030,0,,,$0.00 ,($32.40),$32.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus H6622-056 (HMO),HMO,No,,Enhanced Alternative,H6622,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,079,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nevada,Nye,Humana,Local CCP,Humana Gold Plus H6622-082 (HMO),HMO,No,,Enhanced Alternative,H6622,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Nevada,Nye,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Nevada,Nye,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0007 (PPO),Local PPO,No,,Enhanced Alternative,H7404,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Nye,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,3.5
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Nye,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Nye,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Nevada,Storey,Senior Care Plus,Local CCP,Senior Care Plus Essential plan (HMO),HMO,No,,Enhanced Alternative,H2960,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Storey,Senior Care Plus,Local CCP,Senior Care Plus Select Plan (HMO),HMO,No,,Enhanced Alternative,H2960,018,0,,,$66.00 ,$104.00 ,$0.00 ,$104.00 ,$71.60 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Storey,Senior Care Plus,Local CCP,Renown Preferred Plan by Senior Care Plus (HMO),HMO,No,,Enhanced Alternative,H2960,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Storey,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Storey,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Storey,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Storey,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Storey,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Storey,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,013,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Storey,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,017,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Storey,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Storey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Storey,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Storey,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Storey,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Storey,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Storey,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Nevada,Washoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,033,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Washoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Nevada,Washoe,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H1360,001,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.0,4.0,3.5
Nevada,Washoe,UnitedHealthcare,Local CCP,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,012,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Nevada,Washoe,Molina Healthcare of Nevada,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2478,001,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Molina Healthcare of Nevada,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2478,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Senior Care Plus,Local CCP,Senior Care Plus Essential plan (HMO),HMO,No,,Enhanced Alternative,H2960,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Washoe,Senior Care Plus,Local CCP,Senior Care Plus Select Plan (HMO),HMO,No,,Enhanced Alternative,H2960,018,0,,,$66.00 ,$104.00 ,$0.00 ,$104.00 ,$71.60 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Washoe,Senior Care Plus,Local CCP,Renown Preferred Plan by Senior Care Plus (HMO),HMO,No,,Enhanced Alternative,H2960,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,3.5
Nevada,Washoe,Senior Care Plus,Local CCP,Senior Care Plus Extensive Duals Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2960,024,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.0,3.0,3.5
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,160,0,,,$0.00 ,$18.80 ,$0.00 ,$18.80 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Nevada,Washoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H4346,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Nevada,Washoe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4346,025,0,,Yes,$0.00 ,$15.90 ,$0.00 ,$15.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4711,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4711,013,0,,Yes,$0.00 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Nevada,Washoe,Humana,Local CCP,HumanaChoice H5216-039 (PPO),Local PPO,No,,Enhanced Alternative,H5216,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Nevada,Washoe,Humana,Local CCP,HumanaChoice H5216-194 (PPO),Local PPO,No,,Enhanced Alternative,H5216,194,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$365.00 ,1,,,4.5,4.0,4.5
Nevada,Washoe,Humana,Local CCP,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,302,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health Platinum + Instacart (HMO),HMO,No,,Enhanced Alternative,H5296,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,301,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Washoe,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,303,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H5945,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H5945,014,0,,,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5945,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5945,018,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H5945,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Washoe,Prominence Health Plan,Local CCP,Prominence Giveback $75 (HMO),HMO,No,,Enhanced Alternative,H5945,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Nevada,Washoe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6446,010,0,,,$0.00 ,($10.10),$10.10 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Nevada,Washoe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6446,016,0,,Yes,$0.00 ,$25.80 ,$0.00 ,$25.80 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Nevada,Washoe,Champion Health Plan of Nevada,Local CCP,Champion Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Champion Health Plan of Nevada,Local CCP,Champion Connect (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,002,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Champion Health Plan of Nevada,Local CCP,Champion Select (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6474,003,0,,,,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Humana,Local CCP,Humana Gold Plus H6622-075 (HMO),HMO,No,,Enhanced Alternative,H6622,075,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Nevada,Washoe,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,079,0,,Yes,$0.00 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Nevada,Washoe,ATRIO Health Plans,Local CCP,Saint Mary's ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Washoe,ATRIO Health Plans,Local CCP,Saint Mary's ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$6.60 ,$0.00 ,,,,3.0,3.5,3.0
Nevada,Washoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NV-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H8244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Nevada,Washoe,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8458,003,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,Not enough data available,3.5,Not enough data available
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO),HMO,No,,Enhanced Alternative,H9686,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9686,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Nevada,Washoe,Alignment Health Plan,Local CCP,Alignment Health the ONE (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9686,005,0,,Yes,$0.00 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Hampshire,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,075,0,Yes,Yes,,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
New Hampshire,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,136,0,Yes,,,($17.30),$17.80 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
New Hampshire,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,204,0,Yes,,,$35.50 ,$43.40 ,$78.90 ,$43.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
New Hampshire,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,001,0,,,,$74.80 ,$32.40 ,$107.20 ,$71.20 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,046,0,,,,$78.90 ,$0.00 ,$78.90 ,$42.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,002,0,Yes,,,$44.90 ,$0.00 ,$44.90 ,$8.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,003,0,Yes,,,$48.80 ,$63.10 ,$111.90 ,$75.90 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,176,0,Yes,,,$7.50 ,$2.40 ,$9.90 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,003,0,Yes,Yes,,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,246,0,Yes,,,$82.80 ,$10.40 ,$93.20 ,$57.20 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,351,0,Yes,,,($1.20),$20.50 ,$19.30 ,$19.30 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,001,0,Yes,,,$68.60 ,$26.60 ,$95.20 ,$59.20 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
New Hampshire,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,101,0,Yes,Yes,,$36.90 ,$0.00 ,$36.90 ,$0.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
New Hampshire,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,148,0,Yes,,,$106.40 ,$15.20 ,$121.60 ,$85.60 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Hampshire,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,181,0,Yes,,,$41.80 ,$5.70 ,$47.50 ,$11.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Hampshire,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,378,0,Yes,,,$76.00 ,$0.00 ,$76.00 ,$40.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,384,0,Yes,,,$65.40 ,$4.90 ,$70.30 ,$34.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Hampshire,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,001,0,,,,$96.30 ,$0.00 ,$96.30 ,$60.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
New Hampshire,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,071,0,,,,$76.80 ,$13.30 ,$90.10 ,$54.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
New Hampshire,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,104,0,,,,$0.20 ,$26.60 ,$26.80 ,$26.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
New Hampshire,Belknap,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Belknap,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Belknap,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Belknap,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Belknap,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Belknap,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Belknap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Belknap,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Belknap,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Belknap,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Belknap,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Belknap,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Belknap,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Belknap,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Belknap,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Belknap,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Belknap,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Belknap,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Belknap,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Belknap,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Belknap,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Belknap,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Belknap,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Belknap,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Belknap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Belknap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Belknap,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Carroll,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Carroll,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Carroll,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Carroll,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Carroll,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Carroll,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Carroll,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Carroll,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Carroll,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Carroll,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Carroll,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Carroll,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Carroll,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Carroll,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Carroll,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Carroll,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Carroll,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Cheshire,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Cheshire,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Cheshire,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Cheshire,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Cheshire,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Cheshire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Cheshire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Cheshire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Cheshire,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Cheshire,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Cheshire,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Cheshire,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Cheshire,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Cheshire,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Cheshire,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Cheshire,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Cheshire,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Cheshire,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Cheshire,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Cheshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Cheshire,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Coos,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Coos,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Coos,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Coos,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Coos,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Coos,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Coos,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Coos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Coos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Coos,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Coos,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Coos,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Coos,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Coos,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Coos,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Coos,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Coos,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Coos,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Coos,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Coos,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Coos,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Coos,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Coos,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Coos,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Coos,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Coos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Coos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Coos,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Grafton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Grafton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Grafton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Grafton,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Grafton,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Grafton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Grafton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Grafton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Grafton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Grafton,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Grafton,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Grafton,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Grafton,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Grafton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Grafton,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,015,1,,,$65.50 ,$23.50 ,$0.00 ,$23.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Grafton,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Grafton,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Grafton,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Grafton,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Grafton,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Grafton,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Grafton,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Grafton,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Grafton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Grafton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Grafton,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Hillsborough,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Hillsborough,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Hillsborough,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Hillsborough,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Hillsborough,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Hillsborough,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Hillsborough,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Hillsborough,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Hillsborough,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Hillsborough,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Hillsborough,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Hillsborough,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Hillsborough,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Hillsborough,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Hillsborough,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Hillsborough,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Hillsborough,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Hillsborough,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Hillsborough,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Hillsborough,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Hillsborough,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Hillsborough,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Merrimack,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Merrimack,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Merrimack,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Merrimack,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Merrimack,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Merrimack,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Merrimack,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Merrimack,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Merrimack,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Merrimack,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Merrimack,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Merrimack,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Merrimack,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Merrimack,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Merrimack,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Merrimack,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Merrimack,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Merrimack,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Merrimack,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Merrimack,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Merrimack,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Merrimack,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Merrimack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Merrimack,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Rockingham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Rockingham,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Rockingham,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Rockingham,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Rockingham,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Rockingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Rockingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Rockingham,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Rockingham,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Rockingham,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Rockingham,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Rockingham,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Rockingham,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Rockingham,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Rockingham,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Rockingham,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Rockingham,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Rockingham,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Rockingham,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Strafford,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Strafford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Strafford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Strafford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Strafford,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Strafford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Strafford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Strafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Strafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Strafford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Strafford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Strafford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Strafford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Strafford,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Strafford,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Strafford,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Strafford,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Strafford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Strafford,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Strafford,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Strafford,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Strafford,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Strafford,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,1,,,$101.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Strafford,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Strafford,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Strafford,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Strafford,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Strafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Strafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Strafford,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,UHC Medicare Advantage NH-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,007,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Hampshire,Sullivan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,001,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.5,3.0
New Hampshire,Sullivan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0969,003,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.5,3.0
New Hampshire,Sullivan,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H0969,005,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$210.00 ,1,,,2.5,3.5,3.0
New Hampshire,Sullivan,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H1365,001,0,,,$62.70 ,$36.30 ,$0.00 ,$36.30 ,$0.30 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Sullivan,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H1365,004,3,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$275.00 ,1,,Yes,4.5,4.5,4.5
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,017,0,,,$6.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2162,001,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$160.00 ,1,,,Not enough data available,3.5,Not enough data available
New Hampshire,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3536,002,0,,,$23.70 ,$10.30 ,$0.00 ,$10.30 ,$0.00 ,$190.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3536,004,0,,,$0.00 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Hampshire,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H3536,006,0,,,$0.00 ,($0.10),$0.10 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,028,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$3.00 ,$260.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (PPO),Local PPO,No,,Enhanced Alternative,H4036,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
New Hampshire,Sullivan,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Hampshire,Sullivan,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Sullivan,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
New Hampshire,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,374,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Hampshire,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,376,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Hampshire,Sullivan,Martin's Point Generations Advantage,Local CCP,Martin's Point Generations Advantage Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5591,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Sullivan,Humana,Local CCP,Humana Value Plus H5619-065 (HMO),HMO,No,,Enhanced Alternative,H5619,065,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Sullivan,Humana,Local CCP,Humana Gold Plus H5619-137 (HMO),HMO,No,,Enhanced Alternative,H5619,137,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,3.5,4.0
New Hampshire,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO),HMO,No,,Enhanced Alternative,H5793,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
New Hampshire,Sullivan,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Basic Rx (HMO),HMO,No,,Enhanced Alternative,H6750,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx Plus (HMO),HMO,No,,Enhanced Alternative,H6750,012,2,,,$112.40 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Value Rx (HMO),HMO,No,,Enhanced Alternative,H6750,013,0,,,$29.50 ,$19.50 ,$0.00 ,$19.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,"Harvard Pilgrim Health Care of New England, Inc.",Local CCP,Harvard Pilgrim Stride Choice Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6750,014,0,,,$35.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Hampshire,Sullivan,WellSense Health Plan,Local CCP,WellSense Added Value (HMO),HMO,No,,Defined Standard Benefit,H6851,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Sullivan,WellSense Health Plan,Local CCP,WellSense Signature (HMO),HMO,No,,Enhanced Alternative,H6851,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Sullivan,WellSense Health Plan,Local CCP,WellSense Choice (HMO),HMO,No,,Enhanced Alternative,H6851,003,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Sullivan,WellSense Health Plan,Local CCP,WellSense Premium Savings (HMO),HMO,No,,Enhanced Alternative,H6851,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,047,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,4.0
New Hampshire,Sullivan,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC MH-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5329,001,0,,,$18.90 ,$39.10 ,$0.00 ,$39.10 ,$3.10 ,$295.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,078,0,Yes,Yes,,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
New Jersey,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,139,0,Yes,,,($18.70),$18.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
New Jersey,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,207,0,Yes,,,$32.50 ,$46.50 ,$79.00 ,$46.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
New Jersey,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,008,0,Yes,,,$53.10 ,$0.00 ,$53.10 ,$7.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,009,0,Yes,,,$35.50 ,$58.10 ,$93.60 ,$58.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,179,0,Yes,,,$10.10 ,$2.30 ,$12.40 ,$2.30 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,018,0,Yes,,,$60.60 ,$0.00 ,$60.60 ,$15.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,249,0,Yes,,,$92.30 ,$10.10 ,$102.40 ,$56.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,354,0,Yes,,,$1.00 ,$15.80 ,$16.80 ,$15.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,003,0,Yes,,,$76.50 ,$29.50 ,$106.00 ,$60.50 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
New Jersey,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,131,0,Yes,,,$58.50 ,$0.00 ,$58.50 ,$13.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
New Jersey,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,150,0,Yes,,,$84.60 ,$22.50 ,$107.10 ,$61.60 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Jersey,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,183,0,Yes,,,$43.50 ,$4.10 ,$47.60 ,$4.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Jersey,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,349,0,Yes,,,$68.40 ,$0.00 ,$68.40 ,$22.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,386,0,Yes,,,$47.90 ,$6.30 ,$54.20 ,$8.70 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Horizon Blue Cross Blue Shield of New Jersey,PDP,Horizon Medicare Blue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5993,001,0,,,,$64.80 ,$0.00 ,$64.80 ,$19.30 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Horizon Blue Cross Blue Shield of New Jersey,PDP,Horizon Medicare Blue Rx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5993,003,0,,,,$77.20 ,$53.60 ,$130.80 ,$85.30 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
New Jersey,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,003,0,,,,$98.00 ,$0.00 ,$98.00 ,$52.50 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
New Jersey,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,073,0,,,,$75.10 ,$14.40 ,$89.50 ,$44.00 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
New Jersey,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,106,0,,,,($3.20),$27.60 ,$24.40 ,$24.40 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
New Jersey,Atlantic,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Atlantic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Atlantic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Atlantic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Atlantic,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Atlantic,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Atlantic,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Atlantic,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Atlantic,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Atlantic,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Atlantic,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Atlantic,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Atlantic,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Atlantic,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Atlantic,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Atlantic,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Atlantic,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Atlantic,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Atlantic,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Atlantic,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Atlantic,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Atlantic,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Atlantic,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Atlantic,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Atlantic,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Atlantic,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Atlantic,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Atlantic,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Atlantic,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Atlantic,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Atlantic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Atlantic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Atlantic,Jefferson Health Plans,Local CCP,Jefferson Health Plans Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Atlantic,Jefferson Health Plans,Local CCP,Jefferson Health Plans Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,014,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Atlantic,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Atlantic,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Bergen,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Bergen,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Bergen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Bergen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Bergen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Bergen,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Bergen,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0913,017,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Bergen,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Bergen,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Bergen,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Bergen,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Bergen,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Bergen,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Bergen,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Bergen,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Bergen,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Bergen,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Bergen,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Bergen,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Bergen,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Bergen,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Bergen,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Bergen,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Bergen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Bergen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Bergen,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Bergen,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Burlington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Burlington,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Burlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Burlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Burlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Burlington,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Burlington,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Burlington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Burlington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Burlington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Burlington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Burlington,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Burlington,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Burlington,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Burlington,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Burlington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Burlington,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Burlington,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Burlington,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Burlington,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Burlington,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Burlington,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Burlington,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Burlington,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Burlington,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Burlington,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Burlington,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Burlington,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Burlington,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Burlington,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Burlington,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Burlington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Burlington,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Burlington,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Burlington,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Burlington,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Burlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Burlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Burlington,Jefferson Health Plans,Local CCP,Jefferson Health Plans Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Burlington,Jefferson Health Plans,Local CCP,Jefferson Health Plans Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,014,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Burlington,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Burlington,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Camden,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Camden,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Camden,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Camden,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Camden,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Camden,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Camden,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Camden,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Camden,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Camden,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Camden,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Camden,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Camden,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Camden,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Camden,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Camden,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Camden,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Camden,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Camden,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Camden,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Camden,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Camden,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Camden,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Camden,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Camden,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Camden,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Camden,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Camden,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Camden,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Camden,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Camden,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Camden,Jefferson Health Plans,Local CCP,Jefferson Health Plans Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Camden,Jefferson Health Plans,Local CCP,Jefferson Health Plans Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,014,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Camden,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Camden,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Cape May,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Cape May,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Cape May,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Cape May,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Cape May,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Cape May,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cape May,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Cape May,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Cape May,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Cape May,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Cape May,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Cape May,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Cape May,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Cape May,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Cape May,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Cape May,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Cape May,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cape May,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cape May,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Cape May,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Cape May,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Cape May,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Cape May,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Cape May,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Cape May,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Cape May,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Cape May,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Cape May,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Cape May,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Cape May,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Cumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Cumberland,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Cumberland,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Cumberland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Cumberland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Cumberland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Cumberland,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Cumberland,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Cumberland,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Cumberland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Cumberland,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Cumberland,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Cumberland,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Cumberland,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Cumberland,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Cumberland,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Cumberland,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cumberland,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cumberland,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Cumberland,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Cumberland,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Cumberland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Cumberland,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Cumberland,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Cumberland,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Cumberland,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Cumberland,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Essex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Essex,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Essex,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Essex,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Essex,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Essex,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Essex,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Essex,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Essex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Essex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Essex,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Essex,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Essex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Essex,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Essex,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Essex,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Essex,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Essex,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Essex,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Essex,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Essex,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Essex,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Essex,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Essex,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Essex,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Essex,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Essex,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Essex,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Essex,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Essex,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Essex,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Essex,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Gloucester,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Gloucester,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Gloucester,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Gloucester,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Gloucester,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Gloucester,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Gloucester,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Gloucester,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Gloucester,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Gloucester,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Gloucester,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Gloucester,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Gloucester,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Gloucester,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Gloucester,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Gloucester,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Gloucester,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Gloucester,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Gloucester,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Gloucester,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Gloucester,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Gloucester,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Gloucester,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Gloucester,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Gloucester,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Gloucester,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Gloucester,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Gloucester,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Gloucester,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Gloucester,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Gloucester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Gloucester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Gloucester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Gloucester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,014,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Gloucester,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Gloucester,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Hudson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Hudson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hudson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hudson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hudson,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Hudson,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0913,017,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Hudson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Hudson,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hudson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Hudson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Hudson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Hudson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Hudson,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Hudson,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Hudson,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Hudson,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Hudson,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hudson,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Hudson,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Hudson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Hudson,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Hudson,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Hudson,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Hudson,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Hudson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Hudson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Hudson,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Hudson,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Hunterdon,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Hunterdon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Hunterdon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Hunterdon,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Hunterdon,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Hunterdon,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Hunterdon,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Hunterdon,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Hunterdon,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Hunterdon,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Hunterdon,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Hunterdon,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Hunterdon,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Hunterdon,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Hunterdon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Hunterdon,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Hunterdon,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Hunterdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Hunterdon,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Hunterdon,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Mercer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Mercer,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Mercer,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Mercer,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Mercer,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Mercer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Mercer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Mercer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Mercer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Mercer,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Mercer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Mercer,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Mercer,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Mercer,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Mercer,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Mercer,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Mercer,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Mercer,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Mercer,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Mercer,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Mercer,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Mercer,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Mercer,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Mercer,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Mercer,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Mercer,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Mercer,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Mercer,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Mercer,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Mercer,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Mercer,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Mercer,Jefferson Health Plans,Local CCP,Jefferson Health Plans Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Mercer,Jefferson Health Plans,Local CCP,Jefferson Health Plans Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,014,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
New Jersey,Mercer,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Mercer,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Middlesex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Middlesex,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Middlesex,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Middlesex,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare No Premium Focus (HMO),HMO,No,,Enhanced Alternative,H0913,017,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Middlesex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Middlesex,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Middlesex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Middlesex,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Middlesex,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Middlesex,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Middlesex,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Middlesex,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Middlesex,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Middlesex,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Middlesex,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Middlesex,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Middlesex,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Middlesex,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Middlesex,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Middlesex,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Middlesex,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Middlesex,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Middlesex,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Middlesex,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Middlesex,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Middlesex,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Monmouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Monmouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Monmouth,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Monmouth,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Monmouth,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Monmouth,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Monmouth,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Monmouth,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Monmouth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Monmouth,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Monmouth,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Monmouth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Monmouth,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Monmouth,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Monmouth,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Monmouth,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Monmouth,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Monmouth,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Monmouth,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Monmouth,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Monmouth,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Monmouth,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Monmouth,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Monmouth,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Monmouth,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,132,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Monmouth,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Monmouth,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Monmouth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Monmouth,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Monmouth,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Morris,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Morris,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Morris,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Morris,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Morris,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Morris,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Morris,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Morris,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Morris,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Morris,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Morris,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Morris,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Morris,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Morris,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Morris,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Morris,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Morris,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Morris,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Morris,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Morris,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Morris,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Morris,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Morris,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Morris,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Morris,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Morris,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Morris,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Morris,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Morris,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Ocean,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Ocean,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Ocean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Ocean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Ocean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Ocean,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Ocean,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Ocean,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Ocean,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Ocean,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Ocean,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Ocean,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Ocean,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Ocean,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Ocean,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Ocean,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Ocean,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Ocean,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Ocean,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Ocean,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Ocean,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Ocean,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Ocean,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Ocean,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Ocean,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Ocean,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,003,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New Jersey,Ocean,AmeriHealth,Local CCP,AmeriHealth Medicare Core (PPO),Local PPO,No,,Enhanced Alternative,H5361,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Ocean,AmeriHealth,Local CCP,AmeriHealth Medicare Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5361,002,0,,,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$300.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Ocean,AmeriHealth,Local CCP,AmeriHealth Medicare Secure (PPO),Local PPO,No,,Enhanced Alternative,H5361,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Ocean,AmeriHealth,Local CCP,AmeriHealth Medicare Ultimate (PPO),Local PPO,No,,Enhanced Alternative,H5361,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Ocean,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Ocean,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Ocean,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Ocean,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,132,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Ocean,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Ocean,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Ocean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Ocean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Ocean,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Ocean,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Passaic,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Passaic,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Passaic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Passaic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Passaic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Passaic,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Passaic,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Passaic,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Passaic,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Passaic,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Passaic,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Passaic,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Passaic,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Passaic,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Passaic,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Passaic,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Passaic,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Passaic,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Passaic,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Passaic,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Passaic,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Passaic,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Passaic,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Passaic,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Passaic,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Passaic,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Passaic,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Passaic,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Passaic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Passaic,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Passaic,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Passaic,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Salem,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Salem,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Salem,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Salem,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Salem,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Salem,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,022,0,,,$25.90 ,$31.10 ,$0.00 ,$31.10 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Explorer Value (HMO),HMO,No,,Enhanced Alternative,H3152,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Salem,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Salem,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Salem,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Salem,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New Jersey,Salem,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
New Jersey,Salem,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,042,0,,,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Salem,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Salem,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Salem,Clover Health,Local CCP,Clover Health LiveHealthy Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,059,0,,,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Salem,Humana,Local CCP,HumanaChoice H5216-185 (PPO),Local PPO,No,,Enhanced Alternative,H5216,185,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Jersey,Salem,Humana,Local CCP,HumanaChoice H5216-186 (PPO),Local PPO,No,,Enhanced Alternative,H5216,186,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$505.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Salem,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Salem,Humana,Local CCP,HumanaChoice H5216-320 (PPO),Local PPO,No,,Enhanced Alternative,H5216,320,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare SNJ Prime Elite (PPO),Local PPO,No,,Enhanced Alternative,H5521,123,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,124,0,,,$41.90 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Salem,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Salem,Humana,Local CCP,Humana Gold Plus H6622-066 (HMO),HMO,No,,Enhanced Alternative,H6622,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Jersey,Salem,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Salem,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Salem,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,131,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Salem,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Salem,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Salem,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Salem,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Salem,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Somerset,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Somerset,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Somerset,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Somerset,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Somerset,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Somerset,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Somerset,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Somerset,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Somerset,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Somerset,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Somerset,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Somerset,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Somerset,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Somerset,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Somerset,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Somerset,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Somerset,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Somerset,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Somerset,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Somerset,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Somerset,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Somerset,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Somerset,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Somerset,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Somerset,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Somerset,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Somerset,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Somerset,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Sussex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Sussex,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Sussex,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Sussex,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Sussex,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Sussex,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Sussex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Sussex,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Sussex,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Sussex,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Sussex,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Sussex,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Sussex,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Sussex,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Sussex,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Sussex,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Sussex,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Sussex,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Sussex,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Sussex,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Sussex,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Sussex,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Sussex,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Sussex,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Union,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,056,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Union,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Union,Braven Health,Local CCP,Braven Medicare Freedom (PPO),Local PPO,No,,Enhanced Alternative,H0885,002,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Union,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Union,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Union,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Union,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3113,001,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Union,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Explorer Elite (HMO),HMO,No,,Enhanced Alternative,H3152,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Union,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Union,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3240,017,0,,,,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$160.00 ,1,,,3.0,3.0,3.0
New Jersey,Union,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H3240,021,0,,,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Jersey,Union,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3240,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Union,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Union,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
New Jersey,Union,Clover Health,Local CCP,Clover Health Choice Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,007,0,,,$0.00 ,$42.40 ,$0.00 ,$42.40 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Union,Clover Health,Local CCP,Clover Health Premier (PPO),Local PPO,No,,Enhanced Alternative,H5141,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,3.0,3.5
New Jersey,Union,Clover Health,Local CCP,Clover Health Premier Value (PPO),Local PPO,No,,Enhanced Alternative,H5141,055,0,,,$0.00 ,$31.30 ,$0.00 ,$31.30 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
New Jersey,Union,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Union,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Union,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Union,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,037,0,,,$30.60 ,$56.40 ,$0.00 ,$56.40 ,$10.90 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,390,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Union,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Union,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New Jersey,Union,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Union,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Union,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Union,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Union,Clover Health,Local CCP,Clover Health Classic (HMO),HMO,No,,Enhanced Alternative,H8010,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
New Jersey,Union,Clover Health,Local CCP,Clover Health Value (HMO),HMO,No,,Enhanced Alternative,H8010,003,0,,,$0.00 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
New Jersey,Union,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Union,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Union,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Union,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Warren,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,026,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New Jersey,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,044,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0755,045,0,,,$25.30 ,$51.70 ,$0.00 ,$51.70 ,$6.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New Jersey,Warren,Braven Health,Local CCP,Braven Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H0885,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,3.5
New Jersey,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0913,002,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.5,3.5
New Jersey,Warren,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H0913,013,0,,Yes,$0.00 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$495.00 ,1,,,3.0,3.5,3.5
New Jersey,Warren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0913,015,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$410.00 ,1,,,3.0,3.5,3.5
New Jersey,Warren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0913,021,0,,,$0.00 ,($7.60),$7.60 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.5
New Jersey,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete NJ-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3113,005,0,,Yes,$0.00 ,$45.20 ,$0.00 ,$45.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Explorer Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,048,0,,,$54.60 ,$29.40 ,$0.00 ,$29.40 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3152,080,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Elite 3 (HMO),HMO,No,,Enhanced Alternative,H3152,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
New Jersey,Warren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3240,013,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Warren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H3240,024,0,,,$0.00 ,$44.90 ,$0.00 ,$44.90 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Jersey,Warren,Humana,Local CCP,HumanaChoice H5216-169 (PPO),Local PPO,No,,Enhanced Alternative,H5216,169,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,,4.5,4.0,4.5
New Jersey,Warren,Humana,Local CCP,HumanaChoice H5216-170 (PPO),Local PPO,No,,Enhanced Alternative,H5216,170,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
New Jersey,Warren,Humana,Local CCP,HumanaChoice H5216-172 (PPO),Local PPO,No,,Enhanced Alternative,H5216,172,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Warren,Humana,Local CCP,HumanaChoice H5216-319 (PPO),Local PPO,No,,Enhanced Alternative,H5216,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Prime Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,275,0,,,$12.20 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Prime Credit (PPO),Local PPO,No,,Enhanced Alternative,H5521,277,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,278,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Prime Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,392,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Bronze Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,455,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,456,0,,,$135.80 ,$34.20 ,$0.00 ,$34.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New Jersey,Warren,Aetna Better Health of New Jersey,Local CCP,Aetna Assure Premier Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6399,001,0,,Yes,$0.00 ,$39.10 ,$0.00 ,$39.10 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
New Jersey,Warren,Humana,Local CCP,Humana Gold Plus H6622-063 (HMO),HMO,No,,Enhanced Alternative,H6622,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,4.0,4.0,4.0
New Jersey,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,129,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Jersey,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,130,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.0,3.0
New Jersey,Warren,Horizon Blue Cross Blue Shield of New Jersey,Local CCP,Horizon NJ TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8298,001,0,,Yes,$0.00 ,$45.50 ,$0.00 ,$45.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Warren,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H8711,004,0,,,$24.80 ,$0.30 ,$17.90 ,$18.20 ,$17.90 ,$500.00 ,1,,,2.5,3.0,3.0
New Jersey,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
New Jersey,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NJ-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,035,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,4.0
New Jersey,Warren,Longevity Health Plan,Local CCP,Longevity Health Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H9942,001,0,,Yes,$0.00 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New Jersey,Warren,Aetna Medicare,Regional CCP,Aetna Medicare Premier (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,006,0,,,$59.70 ,$51.30 ,$0.00 ,$51.30 ,$5.80 ,$300.00 ,1,,Yes,4.0,4.0,4.0
New Mexico,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,090,0,Yes,Yes,,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
New Mexico,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,159,0,Yes,,,($16.30),$16.80 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
New Mexico,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,229,0,Yes,,,$35.40 ,$43.50 ,$78.90 ,$43.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
New Mexico,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,052,0,Yes,Yes,,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,053,0,Yes,,,$48.20 ,$55.90 ,$104.10 ,$68.50 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,201,0,Yes,,,$17.20 ,$1.80 ,$19.00 ,$1.80 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,128,0,Yes,Yes,,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,271,0,Yes,,,$93.60 ,$12.40 ,$106.00 ,$70.40 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,376,0,Yes,,,($7.70),$17.50 ,$9.80 ,$9.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,003,0,,,,$76.50 ,$14.30 ,$90.80 ,$55.20 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Basic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5715,013,0,,,,$94.00 ,$0.00 ,$94.00 ,$58.40 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Choice (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,020,0,,,,$19.20 ,$10.30 ,$29.50 ,$10.30 ,$545.00 ,1,,,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,025,0,Yes,,,$62.30 ,$27.40 ,$89.70 ,$54.10 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,110,0,Yes,,,$40.10 ,$0.00 ,$40.10 ,$4.50 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,172,0,Yes,,,$73.30 ,$26.50 ,$99.80 ,$64.20 ,$400.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,205,0,Yes,,,$36.50 ,$5.10 ,$41.60 ,$6.00 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
New Mexico,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,371,0,Yes,Yes,,$33.70 ,$0.00 ,$33.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,407,0,Yes,,,$44.50 ,$5.60 ,$50.10 ,$14.50 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New Mexico,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,025,0,,,,$94.70 ,$0.00 ,$94.70 ,$59.10 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
New Mexico,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,095,0,,,,$36.50 ,$16.80 ,$53.30 ,$17.70 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
New Mexico,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,128,0,,,,($2.40),$24.80 ,$22.40 ,$22.40 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
New Mexico,Bernalillo,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,Bernalillo,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Bernalillo,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Bernalillo,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Bernalillo,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Bernalillo,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Bernalillo,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Bernalillo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,054,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Bernalillo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Bernalillo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Bernalillo,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Bernalillo,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Bernalillo,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,002,0,,,$3.80 ,$4.20 ,$0.00 ,$4.20 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
New Mexico,Bernalillo,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Bernalillo,SCAN Health Plan New Mexico,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5244,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Bernalillo,SCAN Health Plan New Mexico,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Bernalillo,SCAN Health Plan New Mexico,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5244,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Bernalillo,SCAN Health Plan New Mexico,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5244,004,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Bernalillo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Bernalillo,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Bernalillo,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Bernalillo,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Bernalillo,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Catron,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Catron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Catron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Catron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Catron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Catron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Catron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Catron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Catron,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Catron,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Catron,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Catron,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Catron,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Catron,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Catron,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Catron,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Catron,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Chaves,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Chaves,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Chaves,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Chaves,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Chaves,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Chaves,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Chaves,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Chaves,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Chaves,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,5,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Chaves,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Chaves,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Chaves,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Chaves,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Chaves,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Chaves,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Chaves,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Chaves,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Chaves,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Chaves,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Chaves,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Chaves,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Cibola,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Cibola,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Cibola,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Cibola,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Cibola,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Cibola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Cibola,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Cibola,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Cibola,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Cibola,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Cibola,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Cibola,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Cibola,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Cibola,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Cibola,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Cibola,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
New Mexico,Cibola,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Cibola,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Cibola,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Colfax,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Colfax,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Colfax,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Colfax,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Colfax,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Colfax,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Colfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Colfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Colfax,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Colfax,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Colfax,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Colfax,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Colfax,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Colfax,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Colfax,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Colfax,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Colfax,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Colfax,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Curry,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Curry,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Curry,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Curry,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Curry,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Curry,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Curry,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Curry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Curry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Curry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Curry,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,5,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Curry,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Curry,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Curry,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Curry,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Curry,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Curry,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Curry,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Curry,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Curry,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Curry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Curry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Curry,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Curry,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,DeBaca,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,DeBaca,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,DeBaca,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,DeBaca,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,DeBaca,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,DeBaca,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,DeBaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,DeBaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,DeBaca,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,DeBaca,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,DeBaca,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,DeBaca,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,DeBaca,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,DeBaca,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,DeBaca,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,DeBaca,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,DeBaca,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Dona Ana,UnitedHealthcare,Local CCP,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,034,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Dona Ana,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Dona Ana,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Dona Ana,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Dona Ana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Dona Ana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
New Mexico,Dona Ana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Dona Ana,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Dona Ana,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Dona Ana,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Dona Ana,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Dona Ana,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Dona Ana,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Dona Ana,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Dona Ana,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Dona Ana,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Dona Ana,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Dona Ana,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Dona Ana,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Eddy,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Eddy,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Eddy,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Eddy,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Eddy,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Eddy,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Eddy,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Eddy,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Eddy,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Eddy,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Eddy,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Eddy,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Eddy,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Grant,UnitedHealthcare,Local CCP,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,034,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Grant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Grant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Grant,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Grant,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
New Mexico,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Grant,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Grant,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Grant,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Grant,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Grant,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Grant,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Grant,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Grant,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Grant,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Grant,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Grant,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Guadalupe,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Guadalupe,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Guadalupe,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Guadalupe,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Guadalupe,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Guadalupe,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Guadalupe,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Guadalupe,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Guadalupe,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Guadalupe,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Harding,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Harding,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Harding,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Harding,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Harding,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Harding,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Harding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Harding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Harding,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Harding,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Harding,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Harding,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Hidalgo,UnitedHealthcare,Local CCP,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,034,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
New Mexico,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Hidalgo,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Hidalgo,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Lea,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Lea,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Lea,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Lea,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lea,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Lea,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Lea,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lea,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lea,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lea,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lea,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Lincoln,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Lincoln,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Lincoln,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Lincoln,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Lincoln,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Lincoln,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Lincoln,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Lincoln,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Lincoln,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Lincoln,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Lincoln,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lincoln,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lincoln,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lincoln,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Lincoln,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Lincoln,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Los Alamos,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Los Alamos,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Los Alamos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Los Alamos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Los Alamos,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Los Alamos,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,055,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Los Alamos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Los Alamos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Los Alamos,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Los Alamos,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Los Alamos,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Los Alamos,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Los Alamos,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Los Alamos,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Los Alamos,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Los Alamos,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Los Alamos,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Los Alamos,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Luna,UnitedHealthcare,Local CCP,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,034,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Luna,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Luna,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Luna,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Luna,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Luna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
New Mexico,Luna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Luna,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Luna,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Luna,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Luna,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Luna,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Luna,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Luna,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Luna,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Luna,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Luna,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,McKinley,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,McKinley,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,McKinley,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,McKinley,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,McKinley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,McKinley,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,McKinley,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,McKinley,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,McKinley,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,McKinley,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,McKinley,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
New Mexico,McKinley,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,McKinley,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,McKinley,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Mora,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Mora,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Mora,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Mora,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Mora,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Mora,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Mora,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,055,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Mora,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Mora,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Mora,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Mora,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Mora,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Mora,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Mora,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Mora,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Mora,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Mora,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Mora,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Otero,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Otero,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Otero,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Otero,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Otero,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Otero,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Otero,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Otero,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Otero,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Otero,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Otero,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Otero,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Otero,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Otero,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Otero,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Otero,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Otero,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Otero,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Otero,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Otero,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Otero,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Otero,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Quay,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Quay,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Quay,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Quay,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Quay,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Quay,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Quay,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Quay,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Quay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Quay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Quay,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,5,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Quay,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Quay,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Quay,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Quay,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Quay,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Quay,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Quay,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Quay,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Quay,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Quay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Quay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Quay,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Quay,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Rio Arriba,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Rio Arriba,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Rio Arriba,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Rio Arriba,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Rio Arriba,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Rio Arriba,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Rio Arriba,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,055,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Rio Arriba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Rio Arriba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Rio Arriba,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Rio Arriba,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Rio Arriba,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Rio Arriba,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Rio Arriba,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Rio Arriba,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Rio Arriba,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Rio Arriba,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Rio Arriba,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Rio Arriba,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Rio Arriba,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Rio Arriba,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Rio Arriba,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Rio Arriba,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Rio Arriba,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Roosevelt,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Roosevelt,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Roosevelt,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Roosevelt,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Roosevelt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Roosevelt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Roosevelt,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,5,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Roosevelt,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Roosevelt,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Roosevelt,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Roosevelt,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Roosevelt,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Roosevelt,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Roosevelt,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Roosevelt,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Roosevelt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Roosevelt,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Roosevelt,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,San Juan,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,San Juan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,San Juan,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,San Juan,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Juan,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Juan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,San Juan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,San Juan,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,5,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Juan,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,San Juan,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,San Juan,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Juan,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Juan,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,San Juan,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Juan,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Juan,Humana,Local CCP,HumanaChoice H5216-260 (PPO),Local PPO,No,,Enhanced Alternative,H5216,260,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
New Mexico,San Miguel,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,San Miguel,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,San Miguel,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,San Miguel,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,San Miguel,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,San Miguel,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Miguel,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Miguel,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,055,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,San Miguel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,San Miguel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,San Miguel,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,San Miguel,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,San Miguel,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,San Miguel,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,San Miguel,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Miguel,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,San Miguel,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Miguel,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Miguel,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,San Miguel,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,San Miguel,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,San Miguel,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Sandoval,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,Sandoval,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Sandoval,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Sandoval,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sandoval,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Sandoval,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Sandoval,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Sandoval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,054,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Sandoval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Sandoval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Sandoval,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sandoval,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Sandoval,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,002,0,,,$3.80 ,$4.20 ,$0.00 ,$4.20 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sandoval,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Sandoval,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sandoval,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sandoval,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sandoval,SCAN Health Plan New Mexico,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H5244,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Sandoval,SCAN Health Plan New Mexico,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5244,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Sandoval,SCAN Health Plan New Mexico,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5244,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Sandoval,SCAN Health Plan New Mexico,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5244,004,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New Mexico,Sandoval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sandoval,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Sandoval,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Sandoval,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Sandoval,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Santa Fe,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,Santa Fe,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Santa Fe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Santa Fe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Santa Fe,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Santa Fe,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Santa Fe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Santa Fe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,055,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Santa Fe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2406,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Santa Fe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Santa Fe,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Santa Fe,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Santa Fe,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Santa Fe,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Santa Fe,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Santa Fe,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Santa Fe,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Santa Fe,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Santa Fe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6526,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Santa Fe,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Santa Fe,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Santa Fe,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Santa Fe,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Sierra,UnitedHealthcare,Local CCP,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,034,0,,Yes,$0.00 ,$20.40 ,$0.00 ,$20.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Sierra,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Sierra,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sierra,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sierra,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sierra,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sierra,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Sierra,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
New Mexico,Sierra,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Sierra,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Sierra,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Sierra,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Sierra,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Sierra,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Sierra,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sierra,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sierra,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sierra,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Sierra,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Socorro,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Socorro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Socorro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,013,0,,,$183.30 ,$2.50 ,$11.20 ,$13.70 ,$11.20 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Socorro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Socorro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Socorro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Socorro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Socorro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Socorro,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Socorro,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Socorro,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Socorro,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Socorro,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Socorro,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Socorro,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Socorro,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Socorro,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Socorro,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Socorro,Humana,Local CCP,HumanaChoice H5216-339 (PPO),Local PPO,No,,Enhanced Alternative,H5216,339,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Socorro,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Taos,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Taos,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Taos,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
New Mexico,Taos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Taos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Taos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Taos,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Taos,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Taos,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Taos,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Taos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Taos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Taos,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Taos,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Taos,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Taos,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Taos,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Taos,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Taos,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Taos,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Taos,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Taos,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Taos,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Taos,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Taos,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Taos,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Torrance,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,Torrance,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Torrance,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Torrance,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Torrance,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Torrance,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Torrance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,054,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Torrance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Torrance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Torrance,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Torrance,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Torrance,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Torrance,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Torrance,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Torrance,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Torrance,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,002,0,,,$3.80 ,$4.20 ,$0.00 ,$4.20 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
New Mexico,Torrance,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Torrance,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Torrance,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Torrance,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Torrance,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Torrance,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Torrance,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Torrance,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Torrance,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Torrance,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New Mexico,Union,UnitedHealthcare,Local CCP,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,035,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,088,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2406,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Union,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Union,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Valencia,Humana,Local CCP,Humana Gold Plus H0028-019 (HMO),HMO,No,,Enhanced Alternative,H0028,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New Mexico,Valencia,UnitedHealthcare,Local CCP,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,033,0,,Yes,$0.00 ,$12.90 ,$0.00 ,$12.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New Mexico,Valencia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H1666,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Valencia,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,001,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Valencia,Wellcare by Allwell,Local CCP,Wellcare All Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2134,003,0,,Yes,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Valencia,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2134,005,0,,,$0.00 ,($6.90),$6.90 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
New Mexico,Valencia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,054,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Valencia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2406,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Valencia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,096,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
New Mexico,Valencia,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 2 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,Presbyterian Health Plan,Local CCP,Presbyterian Senior Care Plan 3 with Rx (HMO),HMO,No,,Enhanced Alternative,H3204,007,0,,,$52.60 ,$65.40 ,$0.00 ,$65.40 ,$29.80 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,Presbyterian Health Plan,Local CCP,Presbyterian Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3204,013,4,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
New Mexico,Valencia,Presbyterian Health Plan,Local CCP,Presbyterian UltraFlex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3204,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,"Presbyterian Insurance Company, Inc.",Local CCP,Presbyterian MediCare PPO Plan 2 with Rx (PPO),Local PPO,No,,Enhanced Alternative,H3206,001,0,,,$99.70 ,$64.30 ,$0.00 ,$64.30 ,$28.70 ,$500.00 ,,,,3.0,2.5,2.5
New Mexico,Valencia,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Select (HMO),HMO,No,,Enhanced Alternative,H3251,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,Blue Cross and Blue Shield of New Mexico,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3251,029,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3822,002,0,,,$3.80 ,$4.20 ,$0.00 ,$4.20 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
New Mexico,Valencia,Humana,Local CCP,HumanaChoice H5216-078 (PPO),Local PPO,No,,Enhanced Alternative,H5216,078,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Valencia,Humana,Local CCP,HumanaChoice H5216-137 (PPO),Local PPO,No,,Enhanced Alternative,H5216,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
New Mexico,Valencia,Humana,Local CCP,HumanaChoice H5216-196 (PPO),Local PPO,No,,Enhanced Alternative,H5216,196,2,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Valencia,Humana,Local CCP,HumanaChoice H5216-223 (PPO),Local PPO,No,,Enhanced Alternative,H5216,223,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Valencia,Humana,Local CCP,HumanaChoice H5216-341 (PPO),Local PPO,No,,Enhanced Alternative,H5216,341,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
New Mexico,Valencia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NM-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New Mexico,Valencia,Humana,PFFS,Humana Gold Choice H8145-123 (PFFS),PFFS,No,,Enhanced Alternative,H8145,123,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,3.5,4.5,4.0
New Mexico,Valencia,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H8634,009,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H8634,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Valencia,"Blue Cross and Blue Shield of IL, NM",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H8634,015,0,,,$192.60 ,$4.40 ,$0.00 ,$4.40 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
New Mexico,Valencia,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.0,3.5,3.0
New Mexico,Valencia,Wellcare by Allwell,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9976,002,0,,,$0.00 ,($8.50),$8.50 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New York,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,077,0,Yes,Yes,,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
New York,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,138,0,Yes,,,($11.00),$14.70 ,$3.70 ,$3.70 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
New York,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,206,0,Yes,,,$47.50 ,$44.30 ,$91.80 ,$44.30 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
New York,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5552,004,0,Yes,,,$85.60 ,$0.00 ,$85.60 ,$36.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5552,005,0,Yes,,,$105.00 ,$30.40 ,$135.40 ,$86.70 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
New York,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5552,006,0,Yes,,,$70.60 ,$3.30 ,$73.90 ,$25.20 ,$545.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New York,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,006,0,Yes,,,$66.10 ,$0.00 ,$66.10 ,$17.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,007,0,Yes,,,$73.00 ,$47.40 ,$120.40 ,$71.70 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New York,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,178,0,Yes,,,$29.00 ,$2.00 ,$31.00 ,$2.00 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,013,0,Yes,Yes,,$45.60 ,$0.00 ,$45.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,248,0,Yes,,,$103.50 ,$8.10 ,$111.60 ,$62.90 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New York,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,353,0,Yes,,,$4.10 ,$15.40 ,$19.50 ,$15.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5805,001,0,Yes,,,$89.20 ,$26.70 ,$115.90 ,$67.20 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
New York,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,379,0,Yes,,,$93.10 ,$0.00 ,$93.10 ,$44.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
New York,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,382,0,Yes,,,$73.90 ,$4.80 ,$78.70 ,$30.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
New York,Albany,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Albany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Albany,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Albany,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Albany,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Albany,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Albany,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Albany,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Albany,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Albany,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Albany,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Albany,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Albany,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Albany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Albany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Care Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3388,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Albany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Albany,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Albany,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Albany,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Albany,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Albany,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Albany,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Albany,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Albany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Albany,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Albany,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Albany,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Albany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Albany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Albany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Albany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Albany,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Albany,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Albany,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Albany,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Albany,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Albany,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Albany,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Albany,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Albany,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Albany,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Albany,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Albany,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Albany,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Albany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Albany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Albany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Allegany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Allegany,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Allegany,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Allegany,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Allegany,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Allegany,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Allegany,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Allegany,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Allegany,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Allegany,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Allegany,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Allegany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Allegany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Allegany,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Allegany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Allegany,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Allegany,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Allegany,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Allegany,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Allegany,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Allegany,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Allegany,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Allegany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Allegany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Allegany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Allegany,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Allegany,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Allegany,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Allegany,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Allegany,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Allegany,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Allegany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Allegany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Allegany,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Bronx,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Bronx,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Bronx,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Bronx,MetroPlus Health Plan,Local CCP,MetroPlus Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,MetroPlus Health Plan,Local CCP,MetroPlus Platinum Plan (HMO),HMO,No,,Defined Standard Benefit,H0423,004,0,,,$22.80 ,$109.20 ,$0.00 ,$109.20 ,$60.50 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,MetroPlus Health Plan,Local CCP,MetroPlus UltraCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Bronx,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Bronx,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Bronx,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Bronx,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Bronx,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,002,0,,,$0.00 ,$62.00 ,$0.00 ,$62.00 ,$13.30 ,$295.00 ,1,,Yes,3.0,3.0,3.0
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,3.5
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Bronx,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,1,,,$3.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Bronx,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Bronx,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Extra Help (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,009,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Bronx,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,001,0,,,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Bronx,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Bronx,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Bronx,Humana,Local CCP,Humana Gold Plus H3533-032 (HMO),HMO,No,,Enhanced Alternative,H3533,032,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
New York,Bronx,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4868,016,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$540.00 ,1,,,3.0,3.5,3.0
New York,Bronx,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,121,0,,,$31.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,457,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Bronx,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Bronx,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Bronx,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Bronx,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Bronx,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Bronx,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Bronx,Humana,Local CCP,HumanaChoice SNP-DE H5970-026 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,026,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Bronx,EmblemHealth,Local CCP,EmblemHealth VIP Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,010,0,,,$0.00 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Bronx,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,1,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Bronx,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Bronx,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Bronx,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Bronx,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Bronx,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Bronx,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Bronx,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Bronx,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Bronx,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Bronx,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,128,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Bronx,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Bronx,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Bronx,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,040,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Bronx,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Bronx,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Bronx,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Bronx,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Bronx,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Bronx,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Broome,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Broome,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Broome,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Broome,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Broome,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Broome,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Broome,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Broome,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Broome,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Broome,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Broome,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Broome,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Broome,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Broome,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Broome,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Broome,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Broome,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Broome,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Broome,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Broome,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0017 (PPO),Local PPO,No,,Enhanced Alternative,H3418,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Broome,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Broome,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Broome,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Broome,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Broome,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Broome,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Broome,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Broome,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Broome,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Broome,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Broome,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Broome,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Broome,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Broome,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Broome,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Broome,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Broome,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Broome,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Broome,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Broome,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Broome,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Broome,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Broome,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Cattaraugus,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Cattaraugus,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Cattaraugus,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Cattaraugus,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Cattaraugus,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Cattaraugus,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cattaraugus,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Cattaraugus,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Cattaraugus,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Cattaraugus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Cattaraugus,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cattaraugus,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cattaraugus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Cattaraugus,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cattaraugus,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Cattaraugus,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cattaraugus,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Cattaraugus,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Cattaraugus,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cattaraugus,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Cattaraugus,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Cattaraugus,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cattaraugus,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Cattaraugus,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Cattaraugus,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Cattaraugus,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Cattaraugus,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Cattaraugus,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Cattaraugus,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Cattaraugus,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Cayuga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Cayuga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Cayuga,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Cayuga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Cayuga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Cayuga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cayuga,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Cayuga,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Cayuga,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Cayuga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Cayuga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Cayuga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Cayuga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Cayuga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Cayuga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Cayuga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cayuga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cayuga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Cayuga,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cayuga,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Cayuga,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Cayuga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cayuga,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Cayuga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cayuga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Cayuga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Cayuga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cayuga,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Cayuga,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Cayuga,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Cayuga,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Cayuga,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Cayuga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Cayuga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Cayuga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Chautauqua,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Chautauqua,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Chautauqua,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Chautauqua,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chautauqua,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Chautauqua,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Chautauqua,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Chautauqua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chautauqua,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chautauqua,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Chautauqua,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chautauqua,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Chautauqua,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chautauqua,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Chautauqua,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Chautauqua,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Chautauqua,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Chautauqua,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Chautauqua,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Chautauqua,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Chautauqua,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Chautauqua,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Chautauqua,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Chemung,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Chemung,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Chemung,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Chemung,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Chemung,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Chemung,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chemung,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Chemung,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Chemung,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Chemung,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Chemung,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Chemung,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Chemung,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Chemung,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Chemung,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Chemung,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chemung,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chemung,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Chemung,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chemung,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Chemung,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Chemung,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Chemung,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chemung,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chemung,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Chemung,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Chemung,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Chemung,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Chemung,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Chemung,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Chemung,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Chemung,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Chemung,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Chemung,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Chemung,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Chemung,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Chenango,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Chenango,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Chenango,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Chenango,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Chenango,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Chenango,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chenango,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Chenango,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Chenango,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Chenango,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Chenango,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Chenango,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Chenango,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Chenango,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Chenango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Chenango,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chenango,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Chenango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0017 (PPO),Local PPO,No,,Enhanced Alternative,H3418,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Chenango,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Chenango,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Chenango,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Chenango,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Chenango,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Chenango,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Chenango,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Chenango,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Chenango,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Chenango,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Chenango,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Chenango,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Chenango,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Chenango,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Chenango,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Chenango,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Chenango,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Chenango,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Clinton,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Clinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Clinton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Clinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Clinton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Clinton,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Clinton,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0016 (PPO),Local PPO,No,,Enhanced Alternative,H3418,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Clinton,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Clinton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Clinton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Clinton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Clinton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Clinton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Clinton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
New York,Clinton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
New York,Clinton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Clinton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Clinton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Columbia,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Columbia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Columbia,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Columbia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Columbia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Columbia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Columbia,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Columbia,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,1,,,$36.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Columbia,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Columbia,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Columbia,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Columbia,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Columbia,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Columbia,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Columbia,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Columbia,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Columbia,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Columbia,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,1,,,$4.00 ,$50.00 ,$0.00 ,$50.00 ,$1.30 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Columbia,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Columbia,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Columbia,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Columbia,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Columbia,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Columbia,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Cortland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Cortland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Cortland,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Cortland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Cortland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Cortland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cortland,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Cortland,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Cortland,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Cortland,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Cortland,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Cortland,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Cortland,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Cortland,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Cortland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Cortland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cortland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cortland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Cortland,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Cortland,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Cortland,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Cortland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Cortland,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Cortland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cortland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Cortland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Cortland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Cortland,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Cortland,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Cortland,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Cortland,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Cortland,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Cortland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Cortland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Cortland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Delaware,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Delaware,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Delaware,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Delaware,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Delaware,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Delaware,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Delaware,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,1,,,$36.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0017 (PPO),Local PPO,No,,Enhanced Alternative,H3418,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Delaware,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Delaware,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Delaware,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Delaware,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Delaware,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Delaware,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Delaware,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Delaware,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Delaware,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Delaware,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Delaware,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,1,,,$4.00 ,$50.00 ,$0.00 ,$50.00 ,$1.30 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Delaware,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Delaware,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Delaware,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Delaware,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Delaware,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Delaware,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Dutchess,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Dutchess,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Dutchess,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Dutchess,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Dutchess,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Dutchess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Dutchess,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Dutchess,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Dutchess,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Dutchess,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Dutchess,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Dutchess,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Dutchess,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Dutchess,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Dutchess,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Dutchess,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Dutchess,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Dutchess,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Dutchess,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Dutchess,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Dutchess,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Dutchess,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Dutchess,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Dutchess,Humana,Local CCP,HumanaChoice Partnered H5970-025 (PPO),Local PPO,No,,Enhanced Alternative,H5970,025,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,3.5,3.5
New York,Dutchess,Humana,Local CCP,HumanaChoice Partnered H5970-027 (PPO),Local PPO,No,,Enhanced Alternative,H5970,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.5,3.5
New York,Dutchess,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Dutchess,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Dutchess,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,127,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Dutchess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Dutchess,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Dutchess,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Dutchess,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Dutchess,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Dutchess,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Erie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Erie,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Erie,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Erie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Erie,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Erie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Erie,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Erie,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Erie,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Erie,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Erie,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Erie,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Erie,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Erie,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Erie,Independent Health,Local CCP,Independent Health's Assure Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3362,040,0,,,$0.00 ,$60.00 ,$0.00 ,$60.00 ,$11.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Erie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Erie,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Erie,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Erie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Erie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Erie,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Erie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Erie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Erie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Erie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Erie,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Erie,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Erie,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Erie,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Erie,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Erie,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Erie,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Erie,Excellus Health Plan Community Care LLC,Local CCP,Univera Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,001,0,,,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Erie,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Erie,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Erie,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Erie,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Erie,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Erie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Erie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Erie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Essex,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Essex,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Essex,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Essex,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Essex,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Essex,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Essex,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Essex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0016 (PPO),Local PPO,No,,Enhanced Alternative,H3418,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Essex,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Essex,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Essex,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Essex,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Essex,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Essex,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Essex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Essex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
New York,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
New York,Essex,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Essex,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Essex,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Franklin,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Franklin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Franklin,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Franklin,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Franklin,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0016 (PPO),Local PPO,No,,Enhanced Alternative,H3418,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Franklin,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Franklin,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Franklin,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
New York,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
New York,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Fulton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Fulton,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Fulton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Fulton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Fulton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Fulton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Fulton,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Fulton,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Fulton,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Fulton,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Fulton,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Fulton,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Fulton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Fulton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Fulton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Fulton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Fulton,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Fulton,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Fulton,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Fulton,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Fulton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Fulton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Fulton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Genesee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Genesee,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Genesee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Genesee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Genesee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Genesee,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Genesee,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Genesee,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Genesee,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Genesee,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Genesee,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Genesee,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Genesee,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Genesee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Genesee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Genesee,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Genesee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Genesee,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Genesee,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Genesee,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Genesee,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Genesee,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Genesee,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Genesee,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Genesee,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Genesee,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Genesee,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Genesee,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Genesee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Genesee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Genesee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Greene,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Greene,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Greene,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Greene,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Greene,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Greene,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,1,,,$36.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Greene,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Greene,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Greene,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Greene,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Greene,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Greene,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Greene,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Greene,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Greene,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Greene,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,1,,,$4.00 ,$50.00 ,$0.00 ,$50.00 ,$1.30 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Greene,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Greene,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Greene,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Greene,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Hamilton,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Hamilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Hamilton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Hamilton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Hamilton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Hamilton,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Hamilton,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0024 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0026 (PPO),Local PPO,No,,Enhanced Alternative,H3418,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Hamilton,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Hamilton,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Hamilton,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Hamilton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Hamilton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Hamilton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Hamilton,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Hamilton,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Hamilton,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Hamilton,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Hamilton,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Hamilton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Hamilton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
New York,Hamilton,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
New York,Hamilton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Hamilton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Hamilton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Herkimer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Herkimer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Herkimer,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Herkimer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Herkimer,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Herkimer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Herkimer,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Herkimer,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Herkimer,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Herkimer,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Herkimer,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Herkimer,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Herkimer,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Herkimer,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Herkimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0024 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Herkimer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Herkimer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Herkimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0026 (PPO),Local PPO,No,,Enhanced Alternative,H3418,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Herkimer,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Herkimer,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Herkimer,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Herkimer,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Herkimer,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Herkimer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Herkimer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Herkimer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Herkimer,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Herkimer,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Herkimer,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Herkimer,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Herkimer,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Herkimer,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Herkimer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Herkimer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Herkimer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Jefferson,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Jefferson,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Jefferson,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Jefferson,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Jefferson,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Jefferson,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Jefferson,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Jefferson,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Jefferson,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Jefferson,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Jefferson,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Jefferson,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Jefferson,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Jefferson,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Kings,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Kings,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Kings,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Kings,MetroPlus Health Plan,Local CCP,MetroPlus Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,MetroPlus Health Plan,Local CCP,MetroPlus Platinum Plan (HMO),HMO,No,,Defined Standard Benefit,H0423,004,0,,,$22.80 ,$109.20 ,$0.00 ,$109.20 ,$60.50 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,MetroPlus Health Plan,Local CCP,MetroPlus UltraCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Kings,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Kings,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Kings,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Kings,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Kings,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Kings,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Kings,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Kings,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,002,0,,,$0.00 ,$62.00 ,$0.00 ,$62.00 ,$13.30 ,$295.00 ,1,,Yes,3.0,3.0,3.0
New York,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,3.5
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Kings,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,1,,,$3.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Kings,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Kings,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Extra Help (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,009,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.5,3.5,3.5
New York,Kings,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,001,0,,,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Kings,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.0,4.0
New York,Kings,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0012 (PPO),Local PPO,No,,Enhanced Alternative,H3418,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.5,3.0
New York,Kings,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Kings,Humana,Local CCP,Humana Gold Plus H3533-032 (HMO),HMO,No,,Enhanced Alternative,H3533,032,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
New York,Kings,Humana,Local CCP,Humana Gold Plus H3533-033 (HMO),HMO,No,,Enhanced Alternative,H3533,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Kings,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Kings,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Kings,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4868,016,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$540.00 ,1,,,3.0,3.5,3.0
New York,Kings,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,040,0,,,$28.80 ,$58.20 ,$0.00 ,$58.20 ,$9.50 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan 3 (PPO),Local PPO,No,,Enhanced Alternative,H5521,310,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,312,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Kings,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Kings,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Kings,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Kings,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Kings,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Kings,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Kings,EmblemHealth,Local CCP,EmblemHealth VIP Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,010,0,,,$0.00 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Kings,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,1,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Kings,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Kings,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,2,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Kings,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Kings,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Kings,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Kings,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Kings,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Kings,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Kings,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Kings,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,128,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Kings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Kings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Kings,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,040,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Kings,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Kings,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Kings,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Kings,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Kings,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Kings,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Lewis,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Lewis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Lewis,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Lewis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Lewis,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Lewis,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Lewis,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Lewis,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Lewis,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Lewis,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Lewis,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Lewis,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Lewis,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Lewis,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Lewis,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Lewis,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Lewis,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Lewis,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Lewis,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Lewis,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Lewis,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Lewis,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Lewis,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Lewis,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Lewis,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Lewis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Lewis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Lewis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Livingston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Livingston,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Livingston,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Livingston,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Livingston,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Livingston,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Livingston,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Livingston,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Livingston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Livingston,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Livingston,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Livingston,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Livingston,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Livingston,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Livingston,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Livingston,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Livingston,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Livingston,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Livingston,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Livingston,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Livingston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Livingston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Livingston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Madison,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Madison,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Madison,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Madison,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Madison,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Madison,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Madison,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Madison,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Madison,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Madison,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Madison,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Madison,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Madison,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Madison,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Madison,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Madison,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Madison,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Madison,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Madison,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Madison,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Madison,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Madison,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Madison,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Monroe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Monroe,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Monroe,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Monroe,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Monroe,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Monroe,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Monroe,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Monroe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Monroe,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Monroe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Monroe,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Monroe,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Monroe,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Monroe,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Monroe,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Monroe,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Monroe,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Monroe,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Monroe,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Monroe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Montgomery,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Montgomery,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Montgomery,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Montgomery,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Montgomery,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Montgomery,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Montgomery,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0024 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0026 (PPO),Local PPO,No,,Enhanced Alternative,H3418,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Montgomery,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Montgomery,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Montgomery,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Montgomery,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Montgomery,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Montgomery,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Montgomery,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Montgomery,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Montgomery,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Montgomery,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Montgomery,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Montgomery,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Montgomery,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Montgomery,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Montgomery,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Nassau,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Nassau,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Nassau,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Nassau,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Nassau,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Nassau,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Nassau,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,064,0,,,$52.30 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Nassau,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,2,,,$33.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Nassau,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Nassau,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Nassau,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Nassau,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Nassau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,4.0,4.0
New York,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0014 (PPO),Local PPO,No,,Enhanced Alternative,H3418,003,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$375.00 ,1,,Yes,3.0,3.5,3.0
New York,Nassau,Humana,Local CCP,Humana Gold Plus H3533-010 (HMO),HMO,No,,Enhanced Alternative,H3533,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Nassau,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Nassau,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Nassau,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,040,0,,,$28.80 ,$58.20 ,$0.00 ,$58.20 ,$9.50 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,341,0,,,$12.90 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Nassau,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Nassau,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Nassau,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Nassau,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Nassau,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Nassau,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Nassau,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Nassau,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Nassau,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Nassau,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Nassau,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Nassau,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Nassau,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Nassau,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Nassau,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Nassau,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Nassau,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,085,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Nassau,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Nassau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Nassau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,010,0,,,$8.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Nassau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Nassau,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Nassau,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Nassau,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Nassau,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Nassau,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Nassau,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,New York,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,New York,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,New York,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H0088,002,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$535.00 ,1,,Yes,2.0,2.5,2.0
New York,New York,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H0088,003,0,,,$0.00 ,($6.80),$6.80 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.0
New York,New York,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,New York,MetroPlus Health Plan,Local CCP,MetroPlus Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,MetroPlus Health Plan,Local CCP,MetroPlus Platinum Plan (HMO),HMO,No,,Defined Standard Benefit,H0423,004,0,,,$22.80 ,$109.20 ,$0.00 ,$109.20 ,$60.50 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,MetroPlus Health Plan,Local CCP,MetroPlus UltraCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,New York,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,New York,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,New York,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,New York,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,New York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,002,0,,,$0.00 ,$62.00 ,$0.00 ,$62.00 ,$13.30 ,$295.00 ,1,,Yes,3.0,3.0,3.0
New York,New York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,New York,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,1,,,$3.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,New York,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,New York,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Extra Help (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,009,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.5,3.5,3.5
New York,New York,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,New York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,001,0,,,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,New York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,New York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.0,4.0
New York,New York,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0012 (PPO),Local PPO,No,,Enhanced Alternative,H3418,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.5,3.0
New York,New York,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,New York,Humana,Local CCP,Humana Gold Plus H3533-032 (HMO),HMO,No,,Enhanced Alternative,H3533,032,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
New York,New York,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,New York,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,New York,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4868,016,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$540.00 ,1,,,3.0,3.5,3.0
New York,New York,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,040,0,,,$28.80 ,$58.20 ,$0.00 ,$58.20 ,$9.50 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan 3 (PPO),Local PPO,No,,Enhanced Alternative,H5521,310,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,312,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,New York,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,New York,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,New York,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,New York,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,New York,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,New York,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,New York,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,New York,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,New York,EmblemHealth,Local CCP,EmblemHealth VIP Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,010,0,,,$0.00 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,New York,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,1,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,New York,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,New York,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,New York,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,New York,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,New York,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,New York,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,New York,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,New York,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,New York,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,New York,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,128,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,New York,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,New York,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,New York,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,New York,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,New York,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,New York,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,New York,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,New York,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Niagara,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Niagara,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Niagara,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Niagara,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Niagara,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Niagara,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Niagara,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Niagara,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Niagara,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Niagara,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Niagara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Niagara,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Niagara,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Niagara,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Niagara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Niagara,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Niagara,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Niagara,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Niagara,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Niagara,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Niagara,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Niagara,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Niagara,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Niagara,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Niagara,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Niagara,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Niagara,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Niagara,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Niagara,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Niagara,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Niagara,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Niagara,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Niagara,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Niagara,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Niagara,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Niagara,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Niagara,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Niagara,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Niagara,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Oneida,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Oneida,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Oneida,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Oneida,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Oneida,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Oneida,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Oneida,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Oneida,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Oneida,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Oneida,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Oneida,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Oneida,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Oneida,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Oneida,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Oneida,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Oneida,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oneida,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Oneida,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Oneida,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Oneida,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Oneida,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Oneida,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Oneida,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Oneida,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Oneida,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oneida,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Oneida,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Oneida,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Oneida,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Oneida,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Oneida,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Oneida,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Oneida,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Oneida,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Oneida,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Onondaga,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Onondaga,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Onondaga,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Onondaga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Onondaga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Onondaga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Onondaga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Onondaga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Onondaga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Onondaga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Onondaga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Onondaga,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Onondaga,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Onondaga,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Onondaga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Onondaga,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Onondaga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Onondaga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Onondaga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Onondaga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Onondaga,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Onondaga,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Onondaga,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Onondaga,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Onondaga,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Onondaga,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Onondaga,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Onondaga,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Onondaga,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Onondaga,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Onondaga,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Onondaga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Onondaga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Onondaga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Ontario,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Ontario,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Ontario,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Ontario,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Ontario,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Ontario,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Ontario,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Ontario,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Ontario,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Ontario,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Ontario,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Ontario,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ontario,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Ontario,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Ontario,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Ontario,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Ontario,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ontario,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ontario,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Ontario,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Ontario,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ontario,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ontario,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Ontario,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Ontario,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Ontario,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Ontario,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Ontario,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Ontario,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Orange,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Orange,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Orange,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H1722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
New York,Orange,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Orange,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Orange,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Orange,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Orange,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Orange,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Orange,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Orange,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Orange,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Orange,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,023,0,,,$17.60 ,$55.40 ,$0.00 ,$55.40 ,$6.70 ,$345.00 ,1,,Yes,3.0,3.0,3.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Orange,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Orange,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orange,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orange,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Orange,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Orange,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Orange,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Orange,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Orange,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Orange,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orange,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Orange,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Orange,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Orange,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Orange,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Orange,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Orange,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orange,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Orange,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Orange,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,127,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Orange,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Orange,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Orange,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Orleans,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Orleans,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orleans,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Orleans,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Orleans,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Orleans,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Orleans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orleans,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orleans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Orleans,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Orleans,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Orleans,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Orleans,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Orleans,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Orleans,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Orleans,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Orleans,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Orleans,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Orleans,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Orleans,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Orleans,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Orleans,Excellus Health Plan Community Care LLC,Local CCP,Univera Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,001,0,,,$0.00 ,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Orleans,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Orleans,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Orleans,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Oswego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Oswego,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Oswego,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Oswego,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Oswego,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Oswego,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Oswego,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Oswego,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Oswego,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Oswego,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Oswego,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Oswego,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Oswego,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Oswego,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Oswego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Oswego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oswego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oswego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Oswego,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Oswego,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Oswego,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oswego,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Oswego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Oswego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Oswego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Oswego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Oswego,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Oswego,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Oswego,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Oswego,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Oswego,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Oswego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Oswego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Oswego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Otsego,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Otsego,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Otsego,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Otsego,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Otsego,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Otsego,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Otsego,"Excellus Health Plan, Inc",Local CCP,Medicare BluePlus (PPO),Local PPO,No,,Basic Alternative,H3335,018,0,,Yes,$71.20 ,$38.20 ,$0.00 ,$38.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
New York,Otsego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0024 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Otsego,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Otsego,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0026 (PPO),Local PPO,No,,Enhanced Alternative,H3418,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Otsego,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Otsego,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Otsego,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Otsego,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Otsego,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Otsego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Otsego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Otsego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Otsego,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Otsego,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Otsego,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Otsego,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Otsego,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Otsego,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Otsego,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Otsego,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Otsego,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Otsego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Otsego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Otsego,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Putnam,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Putnam,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Putnam,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Putnam,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Putnam,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Putnam,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Putnam,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Putnam,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Putnam,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Putnam,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Putnam,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Putnam,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Putnam,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Putnam,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Putnam,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Putnam,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Putnam,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Putnam,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Putnam,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Putnam,Humana,Local CCP,HumanaChoice Partnered H5970-025 (PPO),Local PPO,No,,Enhanced Alternative,H5970,025,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,3.5,3.5
New York,Putnam,Humana,Local CCP,HumanaChoice Partnered H5970-027 (PPO),Local PPO,No,,Enhanced Alternative,H5970,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.5,3.5
New York,Putnam,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Putnam,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Putnam,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,127,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Putnam,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Putnam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Putnam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Putnam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Queens,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Queens,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Queens,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Queens,MetroPlus Health Plan,Local CCP,MetroPlus Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,MetroPlus Health Plan,Local CCP,MetroPlus Platinum Plan (HMO),HMO,No,,Defined Standard Benefit,H0423,004,0,,,$22.80 ,$109.20 ,$0.00 ,$109.20 ,$60.50 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,MetroPlus Health Plan,Local CCP,MetroPlus UltraCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Queens,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Queens,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Queens,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Queens,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Queens,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Queens,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Queens,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Queens,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Queens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,002,0,,,$0.00 ,$62.00 ,$0.00 ,$62.00 ,$13.30 ,$295.00 ,1,,Yes,3.0,3.0,3.0
New York,Queens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Queens,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,1,,,$3.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Queens,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Queens,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Extra Help (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,009,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.5,3.5,3.5
New York,Queens,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Queens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,001,0,,,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Queens,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Queens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,4.0,4.0
New York,Queens,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0012 (PPO),Local PPO,No,,Enhanced Alternative,H3418,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.5,3.0
New York,Queens,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Queens,Humana,Local CCP,Humana Gold Plus H3533-032 (HMO),HMO,No,,Enhanced Alternative,H3533,032,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
New York,Queens,Humana,Local CCP,Humana Gold Plus H3533-033 (HMO),HMO,No,,Enhanced Alternative,H3533,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Queens,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Queens,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Queens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4868,016,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$540.00 ,1,,,3.0,3.5,3.0
New York,Queens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,040,0,,,$28.80 ,$58.20 ,$0.00 ,$58.20 ,$9.50 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan 3 (PPO),Local PPO,No,,Enhanced Alternative,H5521,310,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,312,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Queens,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Queens,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Queens,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Queens,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Queens,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Queens,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Queens,EmblemHealth,Local CCP,EmblemHealth VIP Dual Reserve (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,010,0,,,$0.00 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Queens,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,1,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Queens,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Queens,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Queens,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Queens,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Queens,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Queens,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Queens,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Queens,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Queens,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Queens,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,128,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Queens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Queens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Queens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,040,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Queens,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Queens,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Queens,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Queens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Queens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Queens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Rensselaer,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Rensselaer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Rensselaer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Rensselaer,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Rensselaer,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Rensselaer,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Rensselaer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Rensselaer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Rensselaer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rensselaer,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Care Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3388,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Rensselaer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Rensselaer,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rensselaer,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Rensselaer,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rensselaer,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Rensselaer,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rensselaer,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Rensselaer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Rensselaer,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rensselaer,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rensselaer,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Rensselaer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rensselaer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Rensselaer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Rensselaer,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rensselaer,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Rensselaer,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Rensselaer,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Rensselaer,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rensselaer,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Rensselaer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Rensselaer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rensselaer,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Rensselaer,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Rensselaer,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Rensselaer,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Rensselaer,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Rensselaer,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Rensselaer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Rensselaer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Rensselaer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Richmond,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Richmond,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Richmond,MetroPlus Health Plan,Local CCP,MetroPlus Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,MetroPlus Health Plan,Local CCP,MetroPlus Platinum Plan (HMO),HMO,No,,Defined Standard Benefit,H0423,004,0,,,$22.80 ,$109.20 ,$0.00 ,$109.20 ,$60.50 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,MetroPlus Health Plan,Local CCP,MetroPlus UltraCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0423,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Richmond,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Richmond,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Richmond,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Richmond,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,002,0,,,$0.00 ,$62.00 ,$0.00 ,$62.00 ,$13.30 ,$295.00 ,1,,Yes,3.0,3.0,3.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,4.0,3.5
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Richmond,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,2,,,$33.10 ,$78.90 ,$0.00 ,$78.90 ,$30.20 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Richmond,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Richmond,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Richmond,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst 65 Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3359,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,001,0,,,$0.00 ,$43.00 ,$0.00 ,$43.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Richmond,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Richmond,Humana,Local CCP,Humana Gold Plus H3533-032 (HMO),HMO,No,,Enhanced Alternative,H3533,032,2,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$300.00 ,1,,,3.0,3.0,3.0
New York,Richmond,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,014,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4868,016,0,,Yes,$0.00 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$540.00 ,1,,,3.0,3.5,3.0
New York,Richmond,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,040,0,,,$28.80 ,$58.20 ,$0.00 ,$58.20 ,$9.50 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan 3 (PPO),Local PPO,No,,Enhanced Alternative,H5521,310,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,458,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Richmond,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Richmond,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Richmond,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Richmond,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Richmond,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Richmond,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Richmond,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H5989,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Richmond,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Richmond,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Richmond,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Richmond,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Richmond,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Richmond,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Richmond,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Richmond,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Richmond,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Richmond,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,082,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Richmond,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,128,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Richmond,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Richmond,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Richmond,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Richmond,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Richmond,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Richmond,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Rockland,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Rockland,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Rockland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H1722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
New York,Rockland,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Rockland,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Rockland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Rockland,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Rockland,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Rockland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Rockland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,023,0,,,$17.60 ,$55.40 ,$0.00 ,$55.40 ,$6.70 ,$345.00 ,1,,Yes,3.0,3.0,3.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,018,0,,,$15.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Rockland,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Rockland,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rockland,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rockland,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Rockland,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Rockland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Rockland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rockland,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rockland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Rockland,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rockland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,121,0,,,$31.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,384,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Rockland,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Rockland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rockland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Rockland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Rockland,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Rockland,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Rockland,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Rockland,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Rockland,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Rockland,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Rockland,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Rockland,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Rockland,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicare Advantage Care (HMO),HMO,No,,Enhanced Alternative,H6988,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,3.5,4.0,4.0
New York,Rockland,Centers Plan for Healthy Living,Local CCP,Centers Plan for Dual Coverage Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Rockland,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Rockland,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Rockland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Rockland,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,127,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Rockland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,009,0,,,$3.50 ,$51.50 ,$0.00 ,$51.50 ,$2.80 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Rockland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Rockland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Rockland,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Rockland,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Rockland,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Rockland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Rockland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Rockland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Saratoga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Saratoga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Saratoga,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Saratoga,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Saratoga,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Saratoga,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Saratoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Saratoga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Saratoga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Saratoga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Care Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3388,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Saratoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Saratoga,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Saratoga,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Saratoga,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Saratoga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Saratoga,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Saratoga,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Saratoga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Saratoga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Saratoga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Saratoga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Saratoga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Saratoga,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Saratoga,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Saratoga,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Saratoga,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Saratoga,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Saratoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Saratoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Saratoga,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Saratoga,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Saratoga,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Saratoga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Saratoga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Saratoga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Schenectady,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Schenectady,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Schenectady,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schenectady,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Schenectady,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Schenectady,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schenectady,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Care Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3388,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schenectady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Schenectady,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schenectady,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Schenectady,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schenectady,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Schenectady,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schenectady,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Schenectady,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Schenectady,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schenectady,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schenectady,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Schenectady,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schenectady,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Schenectady,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Schenectady,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schenectady,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Schenectady,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Schenectady,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Schenectady,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schenectady,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Schenectady,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Schenectady,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schenectady,Nascentia Health Plus,Local CCP,Nascentia Skilled Nursing Facility (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9066,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Schenectady,Nascentia Health Plus,Local CCP,Nascentia Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9066,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Schenectady,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Schenectady,MediGold,Local CCP,MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Schenectady,MediGold,Local CCP,MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H9827,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
New York,Schenectady,MediGold,Local CCP,MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H9827,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,Not enough data available,3.5,Not enough data available
New York,Schenectady,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Schenectady,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Schenectady,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Schoharie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Schoharie,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Schoharie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Schoharie,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Schoharie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schoharie,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Schoharie,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schoharie,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Schoharie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Schoharie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0024 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Schoharie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schoharie,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Schoharie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0026 (PPO),Local PPO,No,,Enhanced Alternative,H3418,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Schoharie,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schoharie,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Schoharie,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Schoharie,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schoharie,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schoharie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schoharie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Schoharie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Schoharie,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schoharie,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Schoharie,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Schoharie,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Schoharie,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schoharie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Schoharie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Schoharie,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Schoharie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Schoharie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Schoharie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Schuyler,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Schuyler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Schuyler,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Schuyler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schuyler,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Schuyler,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schuyler,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Schuyler,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Schuyler,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Schuyler,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Schuyler,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Schuyler,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schuyler,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schuyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Schuyler,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Schuyler,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Schuyler,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Schuyler,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Schuyler,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schuyler,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Schuyler,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schuyler,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Schuyler,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Schuyler,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Schuyler,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Schuyler,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Schuyler,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Schuyler,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Schuyler,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Schuyler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Schuyler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Schuyler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Seneca,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Seneca,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Seneca,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Seneca,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Seneca,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Seneca,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Seneca,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Seneca,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Seneca,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Seneca,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Seneca,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Seneca,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Seneca,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Seneca,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Seneca,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Seneca,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Seneca,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Seneca,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Seneca,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Seneca,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Seneca,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Seneca,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Seneca,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Seneca,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Seneca,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Seneca,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Seneca,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Seneca,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,St. Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,St. Lawrence,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,St. Lawrence,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,St. Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,St. Lawrence,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,St. Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,St. Lawrence,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,St. Lawrence,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,St. Lawrence,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,St. Lawrence,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,St. Lawrence,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,St. Lawrence,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,St. Lawrence,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,St. Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,St. Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,St. Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,St. Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0016 (PPO),Local PPO,No,,Enhanced Alternative,H3418,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,St. Lawrence,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,St. Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,St. Lawrence,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,St. Lawrence,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,St. Lawrence,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,St. Lawrence,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,St. Lawrence,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,St. Lawrence,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,St. Lawrence,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,St. Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,St. Lawrence,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,St. Lawrence,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
New York,St. Lawrence,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
New York,St. Lawrence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,St. Lawrence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,St. Lawrence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Steuben,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Steuben,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Steuben,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Steuben,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Steuben,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Steuben,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Steuben,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Steuben,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Steuben,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Steuben,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Steuben,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Steuben,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Steuben,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Steuben,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Steuben,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Steuben,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Steuben,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Steuben,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Steuben,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Steuben,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Steuben,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Steuben,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Steuben,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Steuben,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Steuben,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Steuben,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Steuben,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Steuben,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Steuben,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Steuben,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Steuben,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Steuben,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Suffolk,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Suffolk,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Suffolk,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Suffolk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Suffolk,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Suffolk,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Suffolk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Suffolk,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Suffolk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Suffolk,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,064,0,,,$52.30 ,$25.70 ,$0.00 ,$25.70 ,$0.00 ,$250.00 ,1,,Yes,3.5,4.0,3.5
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Suffolk,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,3,,,$114.40 ,$78.90 ,$25.70 ,$104.60 ,$55.90 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Suffolk,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Suffolk,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Suffolk,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Suffolk,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Suffolk,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Suffolk,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Suffolk,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Suffolk,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,2,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Suffolk,Humana,Local CCP,Humana Gold Plus H3533-010 (HMO),HMO,No,,Enhanced Alternative,H3533,010,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Suffolk,Humana,Local CCP,Humana Gold Plus H3533-027 (HMO),HMO,No,,Enhanced Alternative,H3533,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
New York,Suffolk,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,034,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Suffolk,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,117,0,,,$46.20 ,$24.80 ,$0.00 ,$24.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,341,0,,,$12.90 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Suffolk,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Suffolk,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Suffolk,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Suffolk,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Suffolk,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Suffolk,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Suffolk,Humana,Local CCP,HumanaChoice H5970-024 (PPO),Local PPO,No,,Enhanced Alternative,H5970,024,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.5,3.5,3.5
New York,Suffolk,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Suffolk,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Suffolk,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Suffolk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Suffolk,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,085,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Suffolk,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Suffolk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,011,0,,,$18.80 ,$54.20 ,$0.00 ,$54.20 ,$5.50 ,$350.00 ,1,,,3.0,3.0,3.0
New York,Suffolk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,034,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Suffolk,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Suffolk,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Suffolk,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Suffolk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Suffolk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Suffolk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Sullivan,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Sullivan,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Sullivan,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H1722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
New York,Sullivan,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Sullivan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Sullivan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Sullivan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Sullivan,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Sullivan,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Sullivan,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Sullivan,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Sullivan,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Sullivan,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Sullivan,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Sullivan,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Sullivan,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Sullivan,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Sullivan,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Sullivan,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Sullivan,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Sullivan,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Sullivan,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Sullivan,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Sullivan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Sullivan,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Sullivan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Sullivan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Sullivan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Tioga,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Tioga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Tioga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Tioga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Tioga,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Tioga,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Tioga,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Tioga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Tioga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Tioga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Tioga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Tioga,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0018 (PPO),Local PPO,No,,Enhanced Alternative,H3418,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
New York,Tioga,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Tioga,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Tioga,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tioga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Tioga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Tioga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Tioga,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Tioga,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Tioga,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Tioga,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Tioga,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Tioga,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Tioga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Tioga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Tioga,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Tompkins,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Tompkins,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Tompkins,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Tompkins,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Tompkins,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Tompkins,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEnhanced (PPO),Local PPO,No,,Enhanced Alternative,H3335,015,0,,,$43.20 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Tompkins,"Excellus Health Plan, Inc",Local CCP,Medicare BlueClassic (PPO),Local PPO,No,,Enhanced Alternative,H3335,038,0,,,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
New York,Tompkins,"Excellus Health Plan, Inc",Local CCP,Medicare BlueEssential (PPO),Local PPO,No,,Enhanced Alternative,H3335,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.5,4.5,4.5
New York,Tompkins,"Excellus Health Plan, Inc",Local CCP,Medicare BlueActive (PPO),Local PPO,No,,Enhanced Alternative,H3335,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Tompkins,"Excellus Health Plan, Inc",Local CCP,Medicare BlueFlex (PPO),Local PPO,No,,Enhanced Alternative,H3335,058,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$275.00 ,1,,,4.5,4.5,4.5
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,077,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,340,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tompkins,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Tompkins,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Tompkins,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Tompkins,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Tompkins,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Ulster,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Ulster,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Ulster,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Ulster,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Ulster,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Ulster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Ulster,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Ulster,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3379,022,0,,Yes,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Ulster,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ulster,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ulster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Ulster,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Ulster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ulster,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Ulster,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Ulster,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Ulster,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Ulster,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Ulster,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Ulster,Humana,Local CCP,HumanaChoice Partnered H5970-025 (PPO),Local PPO,No,,Enhanced Alternative,H5970,025,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,3.5,3.5
New York,Ulster,Humana,Local CCP,HumanaChoice Partnered H5970-027 (PPO),Local PPO,No,,Enhanced Alternative,H5970,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.5,3.5
New York,Ulster,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Ulster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Ulster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Ulster,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Ulster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Ulster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Ulster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Warren,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Warren,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Warren,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Warren,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Warren,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Warren,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Warren,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Warren,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Warren,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Warren,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Warren,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Warren,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Warren,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Warren,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Warren,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Warren,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Warren,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Warren,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Warren,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Warren,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Warren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Warren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Warren,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Washington,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Washington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Washington,Wellcare,PFFS,Wellcare Premium Ultra (PFFS),PFFS,No,,Enhanced Alternative,H2816,013,0,,,$133.60 ,$2.40 ,$0.00 ,$2.40 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Washington,Wellcare,PFFS,Wellcare Premium Enhanced (PFFS),PFFS,No,,Enhanced Alternative,H2816,019,0,,,$47.00 ,($3.20),$3.20 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.5,4.0
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Washington,EmblemHealth,Local CCP,EmblemHealth VIP Rx Saver (HMO),HMO,No,,Enhanced Alternative,H3330,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.0,3.0
New York,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3342,023,2,,,$35.60 ,$47.40 ,$0.00 ,$47.40 ,$0.00 ,$310.00 ,1,,Yes,Not enough data available,4.0,Not enough data available
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 652 (HMO),HMO,No,,Enhanced Alternative,H3384,013,0,,,$57.60 ,$33.60 ,$30.80 ,$64.40 ,$30.80 ,$0.00 ,,,,4.0,3.5,4.0
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Plus (HMO),HMO,No,,Enhanced Alternative,H3384,059,0,,,$0.00 ,$38.60 ,$14.40 ,$53.00 ,$14.40 ,$275.00 ,1,,,4.0,3.5,4.0
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Value (HMO),HMO,No,,Enhanced Alternative,H3384,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
New York,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP Choice Rx (HMO),HMO,No,,Enhanced Alternative,H3388,002,0,,,$4.30 ,$53.80 ,$65.90 ,$119.70 ,$71.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP Value Rx (HMO),HMO,No,,Enhanced Alternative,H3388,004,0,,,$0.00 ,$47.70 ,$6.10 ,$53.80 ,$6.10 ,$0.00 ,,,,5.0,3.5,4.5
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP Basic RX (HMO),HMO,No,,Enhanced Alternative,H3388,013,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,,5.0,3.5,4.5
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP $0 Medicare Rx (HMO),HMO,No,,Enhanced Alternative,H3388,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,3.5,4.5
New York,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0015 (PPO),Local PPO,No,,Enhanced Alternative,H3418,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Washington,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Washington,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Washington,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,110,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,382,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,383,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Washington,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 770 (PPO),Local PPO,No,,Enhanced Alternative,H5526,018,0,,,$118.20 ,$56.20 ,$31.60 ,$87.80 ,$39.10 ,$0.00 ,,,,4.0,4.0,4.0
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,4.0,4.0,4.0
New York,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Basic (PPO),Local PPO,No,,Enhanced Alternative,H5526,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Washington,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Washington,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Washington,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Washington,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Washington,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Washington,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Washington,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Washington,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,038,2,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,039,2,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,007,0,,,$54.50 ,$67.90 ,$0.00 ,$67.90 ,$19.20 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Wayne,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Wayne,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Wayne,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Wayne,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Wayne,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5521,461,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
New York,Wayne,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Wayne,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Wayne,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Wayne,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Wayne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Wayne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Wayne,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Westchester,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,001,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Westchester,"Hamaspik, Inc.",Local CCP,Hamaspik Medicare Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0034,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
New York,Westchester,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (HMO),HMO,No,,Enhanced Alternative,H1722,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Not enough data available,3.0,Not enough data available
New York,Westchester,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Westchester,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Local CCP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1732,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,2.5
New York,Westchester,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,001,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,VillageCareMAX,Local CCP,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,002,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,VillageCareMAX,Local CCP,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H2168,003,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,VillageCareMAX,Local CCP,VillageCareMAX Medicare Select Advantage Plan (HMO),HMO,No,,Enhanced Alternative,H2168,004,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,002,0,,Yes,$0.00 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Westchester,UnitedHealthcare,Local CCP,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2292,003,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
New York,Westchester,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,021,0,,,$96.00 ,$51.40 ,$0.00 ,$51.40 ,$2.70 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,032,0,,,$0.00 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$150.00 ,1,,,4.5,4.0,4.5
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP DualAccess (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,033,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP DualAccess Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3305,034,0,,Yes,$0.00 ,$36.30 ,$0.00 ,$36.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
New York,Westchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.0,3.0
New York,Westchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3307,023,0,,,$17.60 ,$55.40 ,$0.00 ,$55.40 ,$6.70 ,$345.00 ,1,,Yes,3.0,3.0,3.0
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3312,018,0,,,$15.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,069,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Value Select Plan (HMO),HMO,No,,Enhanced Alternative,H3312,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
New York,Westchester,EmblemHealth,Local CCP,EmblemHealth VIP Gold (HMO),HMO,No,,Enhanced Alternative,H3330,021,3,,,$114.40 ,$78.90 ,$25.70 ,$104.60 ,$55.90 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Westchester,EmblemHealth,Local CCP,EmblemHealth VIP Gold Plus (HMO),HMO,No,,Enhanced Alternative,H3330,038,0,,,$151.50 ,$89.50 ,$0.00 ,$89.50 ,$40.80 ,$200.00 ,1,,Yes,3.5,3.0,3.0
New York,Westchester,Elderplan,Local CCP,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,002,0,,Yes,$0.00 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Plus Long Term Care (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3347,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Extra Help (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,009,0,,,$0.00 ,$34.70 ,$0.00 ,$34.70 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Flex (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3347,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.5,3.5,3.5
New York,Westchester,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst Increased Benefits Plan (HMO),HMO,No,,Enhanced Alternative,H3359,019,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst Life Improvement Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,021,0,,,$0.00 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$545.00 ,1,,Yes,4.0,4.0,4.0
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst CompleteCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,034,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst Connection Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3359,038,0,,,$0.00 ,$48.60 ,$0.00 ,$48.60 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
New York,Westchester,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F003 (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3379,002,0,,Yes,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
New York,Westchester,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0013 (PPO),Local PPO,No,,Enhanced Alternative,H3418,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.0,3.5,3.0
New York,Westchester,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4868,004,0,,Yes,$0.00 ,$30.60 ,$0.00 ,$30.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Westchester,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4868,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.5,3.0
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,121,0,,,$31.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,384,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Westchester,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,460,0,,,$139.10 ,$31.90 ,$0.00 ,$31.90 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Westchester,VNS Health Medicare,Local CCP,VNS Health Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,VNS Health Medicare,Local CCP,VNS Health EasyCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5549,011,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,VNS Health Medicare,Local CCP,VNS Health EasyCare (HMO),HMO,No,,Enhanced Alternative,H5549,012,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$145.00 ,1,,,3.5,3.5,3.5
New York,Westchester,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Westchester,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Westchester,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Westchester,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Westchester,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Westchester,Humana,Local CCP,HumanaChoice Partnered H5970-025 (PPO),Local PPO,No,,Enhanced Alternative,H5970,025,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$275.00 ,1,,Yes,3.5,3.5,3.5
New York,Westchester,Humana,Local CCP,HumanaChoice Partnered H5970-027 (PPO),Local PPO,No,,Enhanced Alternative,H5970,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,3.5,3.5
New York,Westchester,EmblemHealth,Local CCP,EmblemHealth VIP Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5991,012,2,,,$0.00 ,$24.70 ,$0.00 ,$24.70 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.0
New York,Westchester,Senior Whole Health of New York,Local CCP,Senior Whole Health of New York NHC (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,007,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Westchester,Senior Whole Health of New York,Local CCP,Senior Whole Health Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5992,009,1,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
New York,Westchester,RiverSpring Health Plans,Local CCP,RiverSpring Star (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6776,001,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Westchester,RiverSpring Health Plans,Local CCP,RiverSpring MAP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6776,002,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
New York,Westchester,Centers Plan for Healthy Living,Local CCP,Centers Plan for Nursing Home Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6988,003,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Westchester,Centers Plan for Healthy Living,Local CCP,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6988,004,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
New York,Westchester,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Westchester,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,127,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
New York,Westchester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,007,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Westchester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H8432,009,0,,,$3.50 ,$51.50 ,$0.00 ,$51.50 ,$2.80 ,$325.00 ,1,,,3.0,3.0,3.0
New York,Westchester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Select (HMO),HMO,No,,Enhanced Alternative,H8432,016,0,,,$13.80 ,$24.20 ,$0.00 ,$24.20 ,$0.00 ,$200.00 ,1,,Yes,3.0,3.0,3.0
New York,Westchester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8432,028,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Westchester,Longevity Health Plan,Local CCP,Longevity Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8457,001,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Westchester,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,018,0,,,$8.00 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
New York,Westchester,Healthfirst Medicare Plan,Local CCP,Healthfirst Signature (PPO),Local PPO,No,,Enhanced Alternative,H9678,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Westchester,Partners Health Plan,Demo,PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9869,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
New York,Westchester,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Westchester,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Westchester,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Wyoming,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2292,001,0,,Yes,$0.00 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
New York,Wyoming,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Wyoming,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Wyoming,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Wyoming,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Wyoming,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Wyoming,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Wyoming,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3312,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,056,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Wyoming,Independent Health,Local CCP,Independent Health's Medicare Passport Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3344,005,0,,,$0.00 ,$91.40 ,$12.60 ,$104.00 ,$55.30 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Medicare Passport Prime (PPO),Local PPO,No,,Enhanced Alternative,H3344,010,0,,,$101.70 ,$86.60 ,$46.70 ,$133.30 ,$84.60 ,$0.00 ,,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Medicare Passport Access (PPO),Local PPO,No,,Enhanced Alternative,H3344,012,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$250.00 ,1,,,5.0,5.0,5.0
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Secure (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,002,0,,,$43.70 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,012,0,,,$15.50 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Basic (HMO),HMO,No,,Enhanced Alternative,H3351,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,019,0,,,$2.30 ,$26.10 ,$0.00 ,$26.10 ,$0.00 ,$100.00 ,1,,,4.0,4.0,4.0
New York,Wyoming,"Excellus Health Plan, Inc",Local CCP,Univera SeniorChoice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,4.0,4.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Encompass 65 Basic (HMO),HMO,No,,Enhanced Alternative,H3362,017,0,,,$0.00 ,$78.90 ,$50.10 ,$129.00 ,$80.30 ,$0.00 ,,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Medicare Family Choice (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3362,020,0,,,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Encompass 65 Core (HMO),HMO,No,,Enhanced Alternative,H3362,033,0,,,$0.00 ,$60.70 ,$4.30 ,$65.00 ,$16.30 ,$50.00 ,1,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Encompass 65 Element (HMO),HMO,No,,Enhanced Alternative,H3362,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,5.0,5.0
New York,Wyoming,Independent Health,Local CCP,Independent Health's Encompass 65 Edge (HMO),HMO,No,,Enhanced Alternative,H3362,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,5.0,5.0,5.0
New York,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue 651 (HMO),HMO,No,,Enhanced Alternative,H3384,019,0,,,$33.10 ,$43.70 ,$38.20 ,$81.90 ,$38.20 ,$0.00 ,,,,4.0,3.5,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Select (HMO),HMO,No,,Enhanced Alternative,H3384,058,0,,,$0.00 ,$44.60 ,$7.40 ,$52.00 ,$7.40 ,$175.00 ,1,,,4.0,3.5,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,BlueSaver (HMO),HMO,No,,Enhanced Alternative,H3384,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Senior Blue Basic (HMO),HMO,No,,Enhanced Alternative,H3384,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,,4.0,3.5,4.0
New York,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Y001 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3387,013,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0019 (PPO),Local PPO,No,,Enhanced Alternative,H3418,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Wyoming,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Wyoming,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,215,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,381,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
New York,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue 751 (PPO),Local PPO,No,,Enhanced Alternative,H5526,004,0,,,$121.40 ,$51.30 ,$36.30 ,$87.60 ,$38.90 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Forever Blue Value (PPO),Local PPO,No,,Enhanced Alternative,H5526,016,0,,,$58.90 ,$54.70 ,$30.40 ,$85.10 ,$36.40 ,$0.00 ,,,,4.0,4.0,4.0
New York,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Nation (PPO),Local PPO,No,,Enhanced Alternative,H5526,020,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
New York,Wyoming,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Wyoming,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Wyoming,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Wyoming,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Wyoming,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Wyoming,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Wyoming,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Wyoming,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Wyoming,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Wyoming,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Wyoming,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Wyoming,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Wyoming,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Wyoming,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
New York,Yates,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,060,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
New York,Yates,Wellcare,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,105,0,,,$110.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
New York,Yates,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,106,0,,,$0.00 ,($10.90),$10.90 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.0,3.0,3.0
New York,Yates,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2775,111,0,,,$0.00 ,($15.70),$15.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,3.0,3.0,3.0
New York,Yates,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2775,112,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Yates,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H2775,113,0,,Yes,$0.00 ,$20.60 ,$0.00 ,$20.60 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
New York,Yates,MVP HEALTH CARE,Local CCP,MVP Medicare Preferred Gold with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,015,0,,,$157.60 ,$64.80 ,$0.00 ,$64.80 ,$16.10 ,$0.00 ,,,Yes,4.5,4.0,4.5
New York,Yates,MVP HEALTH CARE,Local CCP,MVP Medicare Secure with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.5
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3312,070,0,,Yes,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Access (PPO),Local PPO,No,,Enhanced Alternative,H3335,057,0,,,$0.00 ,$14.40 ,$0.00 ,$14.40 ,$0.00 ,$350.00 ,1,,,4.5,4.5,4.5
New York,Yates,Elderplan,Local CCP,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3347,003,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Yates,Elderplan,Local CCP,Elderplan Assist (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,015,0,,,$0.00 ,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Yates,Elderplan,Local CCP,Elderplan Select (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3347,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.5,3.5
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Optimum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,006,0,,,$162.60 ,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,013,0,,,$22.70 ,$43.70 ,$0.00 ,$43.70 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Select (HMO),HMO,No,,Enhanced Alternative,H3351,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$380.00 ,1,,,4.0,4.0,4.0
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Advanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3351,018,0,,,$0.00 ,$32.40 ,$0.00 ,$32.40 ,$0.00 ,$300.00 ,1,,,4.0,4.0,4.0
New York,Yates,"Excellus Health Plan, Inc",Local CCP,Medicare Blue Choice Extra (HMO),HMO,No,,Enhanced Alternative,H3351,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.0,4.0,4.0
New York,Yates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3379,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,4.0,4.0
New York,Yates,UnitedHealthcare,Local CCP,UHC Dual Complete NY-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,014,1,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Yates,UnitedHealthcare,Local CCP,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3387,015,1,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Yates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NY-0025 (PPO),Local PPO,No,,Enhanced Alternative,H3418,009,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$195.00 ,1,,Yes,3.0,3.5,3.0
New York,Yates,Humana,Local CCP,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3533,002,0,,Yes,$0.00 ,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
New York,Yates,Humana,Local CCP,Humana Gold Plus H3533-006 (HMO),HMO,No,,Enhanced Alternative,H3533,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.0,3.0,3.0
New York,Yates,Humana,Local CCP,Humana Gold Plus H3533-013 (HMO),HMO,No,,Enhanced Alternative,H3533,013,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.0,3.0
New York,Yates,CDPHP Medicare Advantage,Local CCP,CDPHP Vital Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.5
New York,Yates,CDPHP Medicare Advantage,Local CCP,CDPHP Flex Rx (PPO),Local PPO,No,,Enhanced Alternative,H5042,011,0,,,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.5
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,076,0,,,$20.30 ,$23.70 ,$0.00 ,$23.70 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,118,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Credit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,313,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Discover Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,318,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Yates,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,459,0,,,$111.20 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
New York,Yates,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,001,0,,Yes,$0.00 ,$44.20 ,$0.00 ,$44.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Yates,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Assist (HMO-POS),HMOPOS,No,,Basic Alternative,H5599,002,0,,Yes,$0.00 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$430.00 ,1,,,3.0,3.5,3.0
New York,Yates,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis No Premium (HMO),HMO,No,,Enhanced Alternative,H5599,004,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
New York,Yates,Wellcare by Fidelis Care,Local CCP,Wellcare Fidelis Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5599,008,0,,Yes,$0.00 ,$48.70 ,$0.00 ,$48.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
New York,Yates,Humana,Local CCP,HumanaChoice H5970-001 (PPO),Local PPO,No,,Enhanced Alternative,H5970,001,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
New York,Yates,Humana,Local CCP,HumanaChoice H5970-015 (PPO),Local PPO,No,,Enhanced Alternative,H5970,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
New York,Yates,Humana,Local CCP,HumanaChoice H5970-018 (PPO),Local PPO,No,,Enhanced Alternative,H5970,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$310.00 ,1,,Yes,3.5,3.5,3.5
New York,Yates,Humana,Local CCP,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5970,020,0,,Yes,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
New York,Yates,Excellus Health Plan Community Care LLC,Local CCP,Medicare Blue Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7524,003,0,,,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
New York,Yates,MVP HEALTH CARE,Local CCP,MVP Medicare WellSelect Plus with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,012,0,,,$45.70 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Yates,MVP HEALTH CARE,Local CCP,MVP Medicare Patriot Plan with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,014,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
New York,Yates,MVP HEALTH CARE,Local CCP,MVP Medicare Gold Giveback with Part D (PPO),Local PPO,No,,Enhanced Alternative,H9615,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,3.5,4.0,3.5
New York,Yates,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0020 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,4.0,3.5
New York,Yates,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0021 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,005,0,,,$0.50 ,$55.50 ,$0.00 ,$55.50 ,$6.80 ,$195.00 ,1,,Yes,3.0,4.0,3.5
New York,Yates,UnitedHealthcare,Regional CCP,UHC Medicare Advantage NY-0022 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5342,006,0,,,$24.60 ,$63.40 ,$0.00 ,$63.40 ,$14.70 ,$0.00 ,,,Yes,3.0,4.0,3.5
North Carolina,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,081,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
North Carolina,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,143,0,Yes,,,($18.00),$18.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
North Carolina,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,211,0,Yes,,,$33.40 ,$45.50 ,$78.90 ,$45.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
North Carolina,(All Counties),Blue Cross and Blue Shield of North Carolina,PDP,Blue Medicare Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5540,002,0,,,,$102.30 ,$0.00 ,$102.30 ,$55.40 ,$545.00 ,1,,,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),Blue Cross and Blue Shield of North Carolina,PDP,Blue Medicare Rx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5540,004,0,,,,$87.50 ,$43.80 ,$131.30 ,$84.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,016,0,Yes,,,$52.30 ,$0.00 ,$52.30 ,$5.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,017,0,Yes,,,$32.30 ,$66.00 ,$98.30 ,$66.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,183,0,Yes,,,$2.40 ,$2.80 ,$5.20 ,$2.80 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,217,0,Yes,,,$57.80 ,$0.00 ,$57.80 ,$10.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,253,0,Yes,,,$69.40 ,$9.90 ,$79.30 ,$32.40 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,358,0,Yes,,,$4.90 ,$15.50 ,$20.40 ,$15.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,007,0,Yes,,,$70.50 ,$31.30 ,$101.80 ,$54.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,133,0,Yes,Yes,,$47.10 ,$0.00 ,$47.10 ,$0.20 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,154,0,Yes,,,$81.00 ,$30.30 ,$111.30 ,$64.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,187,0,Yes,,,$41.00 ,$5.10 ,$46.10 ,$5.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
North Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,353,0,Yes,,,$63.90 ,$0.00 ,$63.90 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,390,0,Yes,,,$52.00 ,$6.20 ,$58.20 ,$11.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,007,0,,,,$81.20 ,$0.00 ,$81.20 ,$34.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
North Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,077,0,,,,$47.90 ,$17.50 ,$65.40 ,$18.50 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
North Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,110,0,,,,($3.40),$28.30 ,$24.90 ,$24.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Alamance,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Alamance,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Alamance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alamance,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Alamance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alamance,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Alamance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Alamance,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Alamance,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alamance,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Alamance,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alamance,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alamance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alamance,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alamance,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alamance,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alamance,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alamance,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Alamance,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alamance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Alamance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Alamance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alamance,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alamance,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Alamance,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Alamance,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Alexander,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Alexander,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alexander,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alexander,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Alexander,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alexander,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alexander,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Alexander,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Alexander,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alexander,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Alexander,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alexander,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alexander,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alexander,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alexander,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Alexander,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alexander,Humana,Local CCP,Humana Gold Plus H6622-057 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alexander,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alexander,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Alleghany,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Alleghany,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alleghany,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Alleghany,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Alleghany,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Alleghany,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alleghany,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Alleghany,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Alleghany,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Alleghany,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Alleghany,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Anson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Anson,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Anson,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Anson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Anson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Anson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Anson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Anson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Anson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Anson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Anson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Anson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Anson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Anson,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Anson,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Anson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Anson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Anson,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Anson,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Anson,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Anson,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Anson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Anson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Anson,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Anson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Anson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Ashe,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Ashe,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Ashe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Ashe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Ashe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Ashe,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Ashe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Ashe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Ashe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Ashe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Ashe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Ashe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Ashe,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Ashe,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Ashe,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Ashe,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Avery,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Avery,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Avery,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Avery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Avery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Avery,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Avery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Avery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Avery,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Avery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Avery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Avery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Avery,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Avery,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Avery,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Avery,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Avery,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Avery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Avery,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Avery,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Avery,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Avery,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Avery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Avery,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Beaufort,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Bertie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bertie,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Bertie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bertie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Bertie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bertie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bertie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Bertie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Bertie,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Bertie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bertie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bertie,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Bertie,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bertie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bertie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bertie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Bertie,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Bladen,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Bladen,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Bladen,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bladen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Bladen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Bladen,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Bladen,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Bladen,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Bladen,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Bladen,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Bladen,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Bladen,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bladen,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Bladen,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Bladen,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Bladen,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-034 (PPO),Local PPO,No,,Enhanced Alternative,H5525,034,0,,,$145.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$190.00 ,1,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Bladen,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bladen,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bladen,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Bladen,Humana,Local CCP,Humana Gold Plus H6622-061 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Bladen,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Brunswick,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Brunswick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Brunswick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,031,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-034 (PPO),Local PPO,No,,Enhanced Alternative,H5525,034,0,,,$145.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$190.00 ,1,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Brunswick,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Brunswick,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,014,0,,,$28.70 ,$26.30 ,$0.00 ,$26.30 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Brunswick,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Brunswick,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Brunswick,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Brunswick,Humana,Local CCP,Humana Gold Plus H6622-061 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Brunswick,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Buncombe,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Buncombe,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Buncombe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Buncombe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Buncombe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Buncombe,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Buncombe,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Buncombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Buncombe,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Buncombe,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Buncombe,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Buncombe,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Buncombe,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Buncombe,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Buncombe,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Buncombe,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Buncombe,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Buncombe,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Buncombe,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Buncombe,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Buncombe,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Burke,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Burke,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Burke,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Burke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Burke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Burke,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Burke,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Burke,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Burke,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Burke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Burke,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Burke,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Burke,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Burke,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Burke,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Burke,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Cabarrus,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Cabarrus,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Cabarrus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cabarrus,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cabarrus,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cabarrus,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cabarrus,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Cabarrus,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cabarrus,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cabarrus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cabarrus,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Cabarrus,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Cabarrus,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Cabarrus,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Cabarrus,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cabarrus,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cabarrus,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Cabarrus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cabarrus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cabarrus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cabarrus,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Cabarrus,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Caldwell,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Caldwell,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Caldwell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Caldwell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Caldwell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Caldwell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Caldwell,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Caldwell,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caldwell,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Caldwell,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Caldwell,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Caldwell,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Caldwell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Camden,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Camden,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Camden,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Camden,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Camden,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Camden,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Camden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Camden,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Camden,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Camden,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Camden,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Camden,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Camden,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Camden,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Camden,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Carteret,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Carteret,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Carteret,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Carteret,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Carteret,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Carteret,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Carteret,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Carteret,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Carteret,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Caswell,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Caswell,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Caswell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caswell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Caswell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caswell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Caswell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Caswell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Caswell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Caswell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Caswell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Caswell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Caswell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Caswell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Caswell,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Caswell,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Caswell,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Caswell,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Caswell,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Caswell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Caswell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Caswell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Caswell,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Caswell,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Caswell,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Caswell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Catawba,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Catawba,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Catawba,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Catawba,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Catawba,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Catawba,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Catawba,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Catawba,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Catawba,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Catawba,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Catawba,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Catawba,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Catawba,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Catawba,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Catawba,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Catawba,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Catawba,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Catawba,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Catawba,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Catawba,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Catawba,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Catawba,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Chatham,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Chatham,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Chatham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Chatham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Chatham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Chatham,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Chatham,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Chatham,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Chatham,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chatham,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Chatham,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Chatham,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chatham,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Chatham,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Chatham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Chatham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Chatham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Chatham,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Chatham,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Chatham,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Chatham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Chatham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cherokee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Cherokee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Cherokee,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Cherokee,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Cherokee,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Chowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chowan,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Chowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chowan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Chowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Chowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Chowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Chowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Chowan,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Chowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Chowan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Chowan,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Chowan,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Clay,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Clay,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Clay,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Clay,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Clay,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Clay,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Clay,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Cleveland,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Cleveland,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cleveland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Cleveland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cleveland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cleveland,Humana,Local CCP,Humana Gold Plus H6622-057 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Cleveland,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Cleveland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Columbus,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Columbus,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Columbus,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Columbus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Columbus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Columbus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Columbus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Columbus,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Columbus,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Columbus,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Columbus,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Columbus,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Columbus,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Columbus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Columbus,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Columbus,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Columbus,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Columbus,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-034 (PPO),Local PPO,No,,Enhanced Alternative,H5525,034,0,,,$145.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$190.00 ,1,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Columbus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Columbus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Columbus,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Columbus,Humana,Local CCP,Humana Gold Plus H6622-061 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Columbus,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Craven,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Craven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Craven,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Craven,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Craven,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Craven,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Craven,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Craven,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Craven,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Craven,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Craven,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Craven,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Craven,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Cumberland,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Cumberland,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Cumberland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Cumberland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cumberland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Cumberland,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Cumberland,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Cumberland,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Cumberland,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Cumberland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cumberland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cumberland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Cumberland,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Cumberland,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Cumberland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Currituck,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Currituck,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Currituck,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Currituck,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Currituck,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Currituck,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Currituck,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Currituck,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Currituck,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Currituck,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Currituck,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Currituck,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Currituck,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Dare,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Dare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Dare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Dare,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Dare,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Dare,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Dare,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Dare,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Dare,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Dare,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Dare,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Dare,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Davidson,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Davidson,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Davidson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davidson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Davidson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davidson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Davidson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Davidson,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Davidson,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Davidson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Davidson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Davidson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davidson,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Davidson,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davidson,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Davidson,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Davidson,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davidson,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davidson,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davidson,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davidson,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davidson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davidson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davidson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davidson,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Davidson,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davidson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Davidson,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Davidson,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Davidson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Davie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Davie,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Davie,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Davie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davie,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Davie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Davie,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Davie,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Davie,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Davie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Davie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Davie,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Davie,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Davie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Davie,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Davie,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Davie,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Davie,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Davie,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Davie,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Davie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davie,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Davie,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Davie,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Davie,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Davie,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Davie,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Davie,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Duplin,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Duplin,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Duplin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Duplin,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Duplin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Duplin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Duplin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Duplin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Duplin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Duplin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Duplin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Duplin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Duplin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Duplin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Duplin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Duplin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Duplin,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Duplin,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Durham,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Durham,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Durham,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Durham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Durham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Durham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Durham,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Durham,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,102,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Durham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Durham,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,168,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Durham,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Durham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Durham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Durham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Durham,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Durham,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Durham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Edgecombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Edgecombe,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Edgecombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Edgecombe,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Edgecombe,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Edgecombe,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Edgecombe,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Edgecombe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Edgecombe,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Edgecombe,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Forsyth,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Forsyth,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Forsyth,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Forsyth,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Forsyth,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Forsyth,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Forsyth,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Forsyth,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Forsyth,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Forsyth,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Forsyth,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Forsyth,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Forsyth,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Forsyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Forsyth,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Forsyth,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Forsyth,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Forsyth,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Forsyth,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Forsyth,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Forsyth,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Forsyth,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Forsyth,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Forsyth,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Forsyth,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Forsyth,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Forsyth,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Forsyth,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Forsyth,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Forsyth,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Franklin,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Franklin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Franklin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Franklin,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Franklin,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Franklin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Franklin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Franklin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Franklin,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Franklin,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Gaston,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Gaston,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Gaston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Gaston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Gaston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Gaston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Gaston,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Gaston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Gaston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Gaston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Gaston,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Gaston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Gaston,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Gaston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Gaston,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Gaston,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Gaston,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Gaston,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Gates,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gates,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Gates,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gates,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Gates,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Gates,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Gates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Gates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Gates,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Gates,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Gates,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Gates,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Gates,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Gates,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Graham,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Graham,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Graham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Graham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Graham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Graham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Graham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Graham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Graham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Graham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Graham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Graham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Graham,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Graham,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Graham,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Graham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Granville,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Granville,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Granville,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Granville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Granville,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Granville,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Granville,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Granville,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Granville,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Granville,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Granville,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Granville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Granville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Granville,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Granville,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Granville,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Granville,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Granville,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Granville,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Granville,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Granville,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Greene,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Greene,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Greene,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Greene,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Greene,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Greene,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Greene,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Greene,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Greene,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Greene,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Greene,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Greene,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Greene,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Greene,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Guilford,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Guilford,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Guilford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Guilford,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Guilford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Guilford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Guilford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Guilford,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Guilford,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Guilford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Guilford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Guilford,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Guilford,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Provider Partners Health Plans,Local CCP,Provider Partners North Carolina Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4439,002,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Guilford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Guilford,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Guilford,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Guilford,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Guilford,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Guilford,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Guilford,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Guilford,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Guilford,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Guilford,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Guilford,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Guilford,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Guilford,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Guilford,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Guilford,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Halifax,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Halifax,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Halifax,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Halifax,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Halifax,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Halifax,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Halifax,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Halifax,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Halifax,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Halifax,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Halifax,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Halifax,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Harnett,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Harnett,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Harnett,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Harnett,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Harnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Harnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Harnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Harnett,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Harnett,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Harnett,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Harnett,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Harnett,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Harnett,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Harnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Harnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Harnett,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Harnett,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Harnett,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Harnett,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Harnett,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Harnett,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Harnett,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Harnett,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Harnett,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Harnett,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Harnett,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Haywood,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Haywood,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Haywood,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Haywood,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Haywood,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Haywood,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Haywood,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Haywood,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Haywood,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Haywood,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Haywood,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Haywood,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Haywood,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Henderson,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Henderson,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Henderson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Henderson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Henderson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Henderson,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Henderson,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Henderson,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Henderson,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Henderson,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Henderson,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Henderson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Henderson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Henderson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Henderson,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Henderson,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Henderson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Henderson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Hertford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hertford,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Hertford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hertford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Hertford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hertford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Hertford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Hertford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hertford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hertford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hertford,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Hertford,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Hertford,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Hoke,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Hoke,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Hoke,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Hoke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hoke,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Hoke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hoke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Hoke,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hoke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Hoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Hoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Hoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Hoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hoke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Hoke,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Hoke,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Hoke,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Hoke,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Hoke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Hoke,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Hoke,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hoke,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Hoke,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Hoke,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Hoke,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Hyde,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hyde,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Hyde,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hyde,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Hyde,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Hyde,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Hyde,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Hyde,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hyde,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Hyde,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Hyde,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hyde,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Hyde,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Hyde,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Hyde,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Hyde,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Hyde,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Hyde,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Hyde,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Hyde,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Iredell,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Iredell,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Iredell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Iredell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Iredell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Iredell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Iredell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Iredell,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Iredell,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Iredell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Iredell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Iredell,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Iredell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Jackson,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Jackson,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Jackson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Jackson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Jackson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Jackson,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Jackson,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Jackson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Jackson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Johnston,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Johnston,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Johnston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Johnston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Johnston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Johnston,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Johnston,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Johnston,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Johnston,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Johnston,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Johnston,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Johnston,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Johnston,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Johnston,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Johnston,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Johnston,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Johnston,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Johnston,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Johnston,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Jones,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jones,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Jones,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jones,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Jones,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Jones,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Jones,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Jones,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Jones,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Lee,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Lee,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lee,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Lee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Lee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Lee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Lee,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Lee,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lee,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Lee,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Lee,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lee,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lee,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lee,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Lee,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Lee,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Lenoir,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lenoir,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Lenoir,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lenoir,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Lenoir,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lenoir,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lenoir,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Lenoir,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Lenoir,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Lenoir,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lenoir,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Lenoir,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lenoir,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lenoir,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lenoir,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Lenoir,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Lincoln,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Lincoln,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Lincoln,Humana,Local CCP,Humana Gold Plus H6622-057 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Lincoln,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Lincoln,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Macon,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Macon,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Macon,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Macon,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Macon,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Macon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Macon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Macon,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Macon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Macon,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Macon,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Macon,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Madison,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Madison,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Madison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Madison,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Madison,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Madison,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Madison,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Madison,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Madison,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Madison,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Madison,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Madison,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Martin,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Martin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Martin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Martin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Martin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Martin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Martin,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Martin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Martin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Martin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Martin,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,McDowell,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,McDowell,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,McDowell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,McDowell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,McDowell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,McDowell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,McDowell,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,McDowell,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,McDowell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,McDowell,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,McDowell,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,McDowell,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,McDowell,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,McDowell,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,McDowell,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,McDowell,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,McDowell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Mecklenburg,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Mecklenburg,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Mecklenburg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Mecklenburg,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Mecklenburg,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mecklenburg,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Mecklenburg,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Mecklenburg,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Mecklenburg,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Mecklenburg,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Mecklenburg,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Mecklenburg,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Mecklenburg,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Mecklenburg,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mecklenburg,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Mitchell,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Mitchell,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Mitchell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Mitchell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Mitchell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Mitchell,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Mitchell,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Mitchell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Mitchell,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Mitchell,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Mitchell,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Mitchell,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Mitchell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Mitchell,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Mitchell,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Mitchell,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Mitchell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Montgomery,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Montgomery,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Montgomery,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Montgomery,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Montgomery,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Montgomery,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Montgomery,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Montgomery,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Montgomery,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Montgomery,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Moore,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Moore,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Moore,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Moore,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Moore,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Moore,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Moore,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Moore,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Moore,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Moore,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Moore,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Moore,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Moore,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Moore,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Moore,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Moore,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Moore,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Moore,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Moore,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Nash,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Nash,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Nash,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Nash,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Nash,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Nash,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Nash,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Nash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Nash,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Nash,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Nash,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Nash,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Nash,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Nash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Nash,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Nash,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Nash,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Nash,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Nash,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-034 (PPO),Local PPO,No,,Enhanced Alternative,H5525,034,0,,,$145.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$190.00 ,1,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,New Hanover,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,New Hanover,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,014,0,,,$28.70 ,$26.30 ,$0.00 ,$26.30 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,New Hanover,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,New Hanover,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,New Hanover,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,New Hanover,Humana,Local CCP,Humana Gold Plus H6622-061 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,New Hanover,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Northampton,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Northampton,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Northampton,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Northampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Northampton,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Northampton,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Onslow,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Onslow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Onslow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Onslow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Onslow,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Onslow,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Onslow,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Onslow,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Onslow,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Onslow,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Onslow,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Onslow,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Onslow,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Orange,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Orange,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Orange,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Orange,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Orange,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Orange,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Orange,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Orange,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Orange,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Orange,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Orange,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Orange,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Orange,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Orange,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Orange,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Orange,Humana,Local CCP,Humana Gold Plus H6622-060 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Orange,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Orange,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Orange,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Orange,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Pamlico,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pamlico,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Pamlico,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pamlico,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Pamlico,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pamlico,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pamlico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Pamlico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pamlico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pamlico,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pamlico,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pamlico,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Pamlico,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pamlico,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Pamlico,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pamlico,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Pamlico,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Pasquotank,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pasquotank,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Pasquotank,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pasquotank,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Pasquotank,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pasquotank,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pasquotank,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Pasquotank,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pasquotank,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pasquotank,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pasquotank,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pasquotank,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Pasquotank,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pasquotank,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Pasquotank,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pasquotank,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Pasquotank,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pender,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pender,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Pender,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pender,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pender,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pender,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Pender,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Pender,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-034 (PPO),Local PPO,No,,Enhanced Alternative,H5525,034,0,,,$145.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$190.00 ,1,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pender,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Pender,FirstMedicare Direct,Local CCP,New Hanover Health Advantage Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,014,0,,,$28.70 ,$26.30 ,$0.00 ,$26.30 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Pender,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pender,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pender,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pender,Humana,Local CCP,Humana Gold Plus H6622-061 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Pender,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Perquimans,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Perquimans,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Perquimans,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Perquimans,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Perquimans,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Perquimans,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Perquimans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Perquimans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Perquimans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Perquimans,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Perquimans,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Perquimans,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Perquimans,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Perquimans,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Perquimans,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Perquimans,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Perquimans,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Perquimans,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Perquimans,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Person,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Person,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Person,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Person,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Person,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Person,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Person,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Person,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Person,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Person,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Person,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Person,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Person,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Person,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Person,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Person,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Person,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Person,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Person,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Person,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Person,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Person,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Person,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Person,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Person,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Person,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Person,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Pitt,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pitt,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Pitt,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pitt,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Pitt,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Pitt,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Pitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Pitt,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Pitt,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Pitt,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Pitt,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Pitt,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Pitt,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pitt,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pitt,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Pitt,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Polk,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Polk,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Polk,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Polk,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Polk,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Polk,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Polk,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Polk,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Polk,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Polk,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Polk,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Polk,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Randolph,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Randolph,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Randolph,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Randolph,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Randolph,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Randolph,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Randolph,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Randolph,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Randolph,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Randolph,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Randolph,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Randolph,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Randolph,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Randolph,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Randolph,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Randolph,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Randolph,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Randolph,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Randolph,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Randolph,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Randolph,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Richmond,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Richmond,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Richmond,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Richmond,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Richmond,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Richmond,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Richmond,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Richmond,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Richmond,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Richmond,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Richmond,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Richmond,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Richmond,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Richmond,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Richmond,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Richmond,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Robeson,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Robeson,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Robeson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Robeson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Robeson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Robeson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Robeson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Robeson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Robeson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Robeson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Robeson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Robeson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Robeson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Robeson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Robeson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Robeson,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Robeson,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Robeson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Robeson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Robeson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Robeson,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Robeson,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Robeson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Robeson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Robeson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Robeson,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Robeson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Rockingham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rockingham,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Rockingham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rockingham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Rockingham,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Rockingham,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2624,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,5.0,3.5,4.5
North Carolina,Rockingham,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Cardinal Plan (HMO),HMO,No,,Enhanced Alternative,H2624,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,3.5,4.5
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rockingham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Rockingham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rockingham,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rockingham,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Rockingham,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Rockingham,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Rockingham,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Rockingham,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rockingham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rockingham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rockingham,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rockingham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Rockingham,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Rockingham,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Rockingham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Rowan,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Rowan,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Rowan,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rowan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Rowan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rowan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rowan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Rowan,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rowan,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rowan,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rowan,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Rowan,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Rowan,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Rowan,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Rutherford,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Rutherford,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Rutherford,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Rutherford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Rutherford,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Rutherford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rutherford,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Rutherford,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Rutherford,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Sampson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Sampson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Sampson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Sampson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Sampson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Sampson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Sampson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Sampson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Sampson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Sampson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Sampson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Sampson,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Sampson,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Sampson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Sampson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Sampson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Sampson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Sampson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Sampson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Sampson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Sampson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Sampson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Scotland,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Scotland,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Scotland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Scotland,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Scotland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Scotland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Scotland,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Scotland,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Scotland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Scotland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,015,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Scotland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Scotland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Scotland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Scotland,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Scotland,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Scotland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,169,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Scotland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Scotland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Scotland,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Scotland,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Scotland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Scotland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Scotland,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Scotland,FirstMedicare Direct,Local CCP,FirstMedicare Direct PPO Plus (PPO),Local PPO,No,,Enhanced Alternative,H8064,002,0,,,$40.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,4.5,Not enough data available
North Carolina,Scotland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Scotland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Stanly,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Stanly,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Stanly,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Stanly,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Stanly,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stanly,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stanly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Stanly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Stanly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Stanly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Stanly,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Stanly,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Stanly,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Stanly,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Stanly,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Stanly,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Stanly,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Stanly,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stanly,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stanly,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Stanly,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Stanly,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Stokes,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Stokes,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Stokes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stokes,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Stokes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stokes,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Stokes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Stokes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,003,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Stokes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Stokes,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Stokes,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Stokes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Stokes,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Stokes,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Stokes,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Stokes,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Stokes,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,170,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Stokes,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Stokes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Stokes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Stokes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Stokes,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Stokes,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Stokes,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Stokes,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Surry,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Surry,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Surry,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Surry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Surry,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Surry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Surry,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Surry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Surry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Surry,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Surry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Surry,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Surry,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Surry,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Swain,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Swain,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Swain,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Swain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Swain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Swain,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Swain,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Swain,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Swain,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Swain,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Swain,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Swain,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Swain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Swain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Swain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Swain,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Swain,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Swain,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Swain,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Transylvania,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Transylvania,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Transylvania,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Transylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Transylvania,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Transylvania,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Transylvania,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Transylvania,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Transylvania,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Transylvania,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Transylvania,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Transylvania,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Transylvania,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Transylvania,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Transylvania,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Transylvania,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Transylvania,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Transylvania,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Transylvania,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Transylvania,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Transylvania,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Transylvania,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Transylvania,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Tyrrell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Tyrrell,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Tyrrell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Tyrrell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Tyrrell,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Tyrrell,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Tyrrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Tyrrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Tyrrell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Tyrrell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Tyrrell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Tyrrell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Tyrrell,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Tyrrell,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Tyrrell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Tyrrell,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Tyrrell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Union,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Union,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Union,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Union,Humana,Local CCP,Humana Gold Plus H1036-137 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,137,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Union,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Union,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Union,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Union,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Union,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Union,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Union,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Union,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Union,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Union,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Union,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Union,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Union,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Union,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Union,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Union,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Union,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Union,Humana,Local CCP,Humana Gold Plus H6622-057 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Union,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Vance,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Vance,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Vance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Vance,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Vance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Vance,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Vance,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Vance,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Vance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Vance,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Vance,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Vance,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Vance,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Vance,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Vance,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Vance,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Vance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Vance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Vance,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Vance,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Vance,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Vance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Vance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Vance,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Vance,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Wake,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Wake,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus H1036-233 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,233,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wake,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,018,0,,Yes,$0.00 ,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Choice (HMO),HMO,No,,Enhanced Alternative,H3449,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wake,Experience Health,Local CCP,Experience Health Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3777,001,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wake,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Wake,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wake,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Care Advantage NC-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,043,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,102,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,110,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wake,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Wake,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wake,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Wake,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wake,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,168,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wake,FirstMedicare Direct,Local CCP,FirstMedicare Direct SmartHMO (HMO),HMO,No,,Enhanced Alternative,H6306,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Wake,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,017,0,,,$17.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,Yes,5.0,4.0,4.5
North Carolina,Wake,FirstMedicare Direct,Local CCP,FirstMedicare Direct POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6306,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,4.0,4.5
North Carolina,Wake,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
North Carolina,Wake,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wake,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wake,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wake,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Wake,Cigna Healthcare,Local CCP,Cigna Preferred Select Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wake,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Warren,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Warren,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Warren,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Warren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Warren,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Warren,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Warren,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Warren,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Warren,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Warren,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Washington,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Washington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,115,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,018,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
North Carolina,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Washington,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-026 (PPO),Local PPO,No,,Enhanced Alternative,H5525,026,0,,,$25.40 ,$52.60 ,$0.00 ,$52.60 ,$5.70 ,$265.00 ,1,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Washington,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Watauga,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Watauga,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Watauga,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Watauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Watauga,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Watauga,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Watauga,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Watauga,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Watauga,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Watauga,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Watauga,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Watauga,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Watauga,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Watauga,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Watauga,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Watauga,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wayne,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wayne,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wayne,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wayne,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wayne,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Wayne,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Wilkes,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Wilkes,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Wilkes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilkes,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Wilkes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilkes,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wilkes,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wilkes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Wilkes,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wilkes,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,042,0,,Yes,$0.00 ,$35.10 ,$0.00 ,$35.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilkes,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilkes,Alignment Health Plan,Local CCP,Alignment Health Platinum (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5296,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Wilkes,Alignment Health Plan,Local CCP,Alignment Health NC Duals (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5296,004,0,,Yes,$0.00 ,$10.20 ,$0.00 ,$10.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilkes,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5296,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
North Carolina,Wilkes,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO),HMO,No,,Enhanced Alternative,H5296,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,139,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Wilkes,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilkes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilkes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilkes,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilkes,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H7074,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Wilkes,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Wilkes,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Wilson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Wilson,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
North Carolina,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilson,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,002,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,3,,,$11.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Wilson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Wilson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wilson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,104,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,243,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
North Carolina,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice H5525-049 (PPO),Local PPO,No,,Enhanced Alternative,H5525,049,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Wilson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilson,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Wilson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,034,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
North Carolina,Yadkin,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Yadkin,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Yadkin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yadkin,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Yadkin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yadkin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Yadkin,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yadkin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,034,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Yadkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
North Carolina,Yadkin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Yadkin,Aetna Medicare,Local CCP,Aetna Medicare Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Yadkin,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,008,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Yadkin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Yadkin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Yadkin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,037,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yadkin,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yadkin,Devoted Health,Local CCP,Devoted CORE North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Yadkin,Devoted Health,Local CCP,Devoted GIVEBACK North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Yadkin,Devoted Health,Local CCP,Devoted PREMIUM North Carolina (HMO),HMO,No,,Enhanced Alternative,H5299,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Yadkin,Devoted Health,Local CCP,Devoted DUAL PLUS North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,006,0,,Yes,$0.00 ,$27.10 ,$0.00 ,$27.10 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Yadkin,Devoted Health,Local CCP,Devoted DUAL North Carolina (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5299,009,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
North Carolina,Yadkin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Yadkin,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yadkin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6351,001,0,,Yes,$0.00 ,$46.20 ,$0.00 ,$46.20 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Yadkin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Advantage (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6351,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Yadkin,Liberty Medicare Advantage,Local CCP,Liberty Medicare Dual Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6351,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yadkin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Yadkin,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan I (PPO),Local PPO,No,,Enhanced Alternative,H9808,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Yadkin,CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA,Local CCP,HealthTeam Advantage Plan II (PPO),Local PPO,No,,Enhanced Alternative,H9808,005,0,,,$0.00 ,$46.70 ,$3.30 ,$50.00 ,$3.30 ,$0.00 ,,,Yes,4.5,3.5,4.0
North Carolina,Yadkin,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Carolina,Yancey,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H0712,023,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.5
North Carolina,Yancey,Wellcare,Local CCP,Wellcare Dual Access Medicare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0712,025,0,,Yes,$0.00 ,$42.70 ,$0.00 ,$42.70 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.5
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,167,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus H1036-291 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1036,291,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,5.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,307,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.5,5.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1036,309,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
North Carolina,Yancey,UnitedHealthcare,Local CCP,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,005,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.0
North Carolina,Yancey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
North Carolina,Yancey,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,006,0,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Yancey,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,009,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare PPO Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3404,003,2,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$2.10 ,$0.00 ,,,Yes,5.0,4.5,4.5
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,023,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3449,024,2,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Local CCP,Blue Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H3449,027,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,Yes,4.5,3.5,4.5
North Carolina,Yancey,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4073,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$450.00 ,1,,,2.5,2.5,3.0
North Carolina,Yancey,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,002,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Yancey,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4073,003,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,3.0
North Carolina,Yancey,Troy Medicare,Local CCP,Troy Medicare (HMO),HMO,No,,Enhanced Alternative,H4676,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
North Carolina,Yancey,Troy Medicare,Local CCP,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4676,002,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5216-017 (PPO),Local PPO,No,,Enhanced Alternative,H5216,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5216-211 (PPO),Local PPO,No,,Enhanced Alternative,H5216,211,0,,,$55.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,4.5,4.0,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,UHC Dual Complete NC-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,041,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,079,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,080,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC NC-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$435.00 ,1,,Yes,4.5,4.5,4.5
North Carolina,Yancey,UnitedHealthcare,Local CCP,UHC Dual Complete NC-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,116,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
North Carolina,Yancey,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,236,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Yancey,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,348,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5525-035 (PPO),Local PPO,No,,Enhanced Alternative,H5525,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,036,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5525-050 (PPO),Local PPO,No,,Enhanced Alternative,H5525,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5525-070 (PPO),Local PPO,No,,Enhanced Alternative,H5525,070,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice H5525-071 (PPO),Local PPO,No,,Enhanced Alternative,H5525,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,072,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,073,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus H6622-025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus H6622-026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,026,0,,,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
North Carolina,Yancey,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H6622,027,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,113,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
North Carolina,Yancey,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Local CCP,Healthy Blue + Medicare (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H9147,001,0,,Yes,$0.00 ,$46.90 ,$0.00 ,$46.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,003,0,,Yes,$0.00 ,$33.80 ,$0.00 ,$33.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,006,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,009,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
North Carolina,Yancey,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9725,013,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Carolina,Yancey,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
North Dakota,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
North Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
North Dakota,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
North Dakota,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
North Dakota,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
North Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
North Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
North Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
North Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
North Dakota,Adams,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Adams,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Adams,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Adams,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Adams,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Adams,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Adams,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Adams,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Barnes,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Barnes,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Barnes,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Barnes,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Barnes,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Barnes,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Barnes,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Barnes,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Barnes,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Barnes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Barnes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Barnes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Barnes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Barnes,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Barnes,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Barnes,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Barnes,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Barnes,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Barnes,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Barnes,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Benson,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Benson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Benson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Benson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Benson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Benson,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Benson,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Benson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Benson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Benson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Benson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Billings,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Billings,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Billings,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Billings,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Billings,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Billings,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Bottineau,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Bottineau,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Bowman,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Bowman,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Bowman,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Bowman,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Bowman,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Bowman,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Bowman,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Bowman,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Burke,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Burke,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Burleigh,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Burleigh,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Burleigh,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Burleigh,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Burleigh,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Burleigh,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Burleigh,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Burleigh,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Burleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Burleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Burleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Burleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Burleigh,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Burleigh,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Burleigh,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Burleigh,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
North Dakota,Burleigh,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
North Dakota,Burleigh,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
North Dakota,Burleigh,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Burleigh,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Burleigh,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Burleigh,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Burleigh,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Cass,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Cass,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Cass,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Cass,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Cass,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Cass,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Cass,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Cass,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Cass,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Cass,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Cass,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Cass,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Cass,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Cass,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Cass,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Cass,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Cass,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Cass,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Cass,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Cavalier,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Cavalier,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Cavalier,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Cavalier,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Cavalier,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Cavalier,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Cavalier,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Cavalier,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Dickey,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Dickey,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Dickey,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Dickey,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Dickey,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Dickey,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Dickey,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Dickey,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Dickey,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Dickey,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Dickey,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Dickey,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Dickey,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Divide,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Divide,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Dunn,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Dunn,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Dunn,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Dunn,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Dunn,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Dunn,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Eddy,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Eddy,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Eddy,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Eddy,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Eddy,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Eddy,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Eddy,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Eddy,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Eddy,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Emmons,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Emmons,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Emmons,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Emmons,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Emmons,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Emmons,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Emmons,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Emmons,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Emmons,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Emmons,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Emmons,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Foster,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Foster,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Foster,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Foster,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Foster,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Foster,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Foster,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Foster,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Foster,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Foster,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Foster,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Golden Valley,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Golden Valley,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Golden Valley,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Grand Forks,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Grand Forks,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Grand Forks,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Grand Forks,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Grand Forks,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Grand Forks,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Grand Forks,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Grand Forks,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Grand Forks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Grand Forks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Grand Forks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Grand Forks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Grand Forks,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Grand Forks,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Grand Forks,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
North Dakota,Grand Forks,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
North Dakota,Grand Forks,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
North Dakota,Grand Forks,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Grand Forks,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Grand Forks,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Grand Forks,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Grand Forks,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Grant,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Grant,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Grant,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Grant,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Grant,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Grant,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Grant,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Griggs,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Griggs,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Griggs,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Griggs,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Griggs,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Griggs,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Griggs,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Griggs,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Griggs,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Griggs,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Griggs,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Griggs,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Griggs,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Hettinger,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Hettinger,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Hettinger,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Hettinger,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Hettinger,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Hettinger,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Hettinger,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Hettinger,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Hettinger,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Hettinger,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Kidder,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Kidder,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Kidder,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Kidder,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Kidder,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Kidder,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Kidder,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Kidder,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Kidder,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Kidder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Kidder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Kidder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Kidder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Kidder,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Kidder,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Kidder,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,LaMoure,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,LaMoure,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,LaMoure,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,LaMoure,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,LaMoure,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,LaMoure,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,LaMoure,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,LaMoure,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,LaMoure,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,LaMoure,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,LaMoure,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Logan,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Logan,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Logan,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Logan,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Logan,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Logan,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Logan,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Logan,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Logan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Logan,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McHenry,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,McHenry,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,McHenry,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McHenry,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McHenry,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,McHenry,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,McHenry,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,McHenry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,McHenry,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,McHenry,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,McIntosh,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,McIntosh,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McIntosh,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McIntosh,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,McIntosh,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,McIntosh,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,McIntosh,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,McIntosh,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McKenzie,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,McKenzie,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,McLean,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,McLean,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,McLean,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McLean,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,McLean,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,McLean,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,McLean,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,McLean,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,McLean,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,McLean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,McLean,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,McLean,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,McLean,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,McLean,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,McLean,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McLean,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,McLean,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Mercer,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Mercer,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Mercer,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Mercer,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Mercer,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Mercer,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Mercer,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Mercer,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Mercer,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Mercer,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Mercer,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Morton,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Morton,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Morton,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Morton,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Morton,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Morton,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Morton,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Morton,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Morton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Morton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Morton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Morton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Morton,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Morton,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Morton,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
North Dakota,Morton,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
North Dakota,Morton,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
North Dakota,Morton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Morton,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Morton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Morton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Morton,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Mountrail,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Mountrail,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Mountrail,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Mountrail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Mountrail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Mountrail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Mountrail,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Nelson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Nelson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Nelson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Nelson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Nelson,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Nelson,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Nelson,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Nelson,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Nelson,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Nelson,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Nelson,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Nelson,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Nelson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Oliver,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Oliver,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Oliver,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Oliver,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Oliver,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Oliver,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Oliver,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Oliver,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Oliver,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Oliver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Oliver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Oliver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Oliver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Oliver,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Oliver,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Oliver,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Oliver,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Oliver,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Pembina,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Pembina,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Pembina,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Pembina,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Pembina,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Pembina,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Pembina,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Pembina,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Pembina,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Pembina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Pembina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Pembina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Pembina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Pierce,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Pierce,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Pierce,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Pierce,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Pierce,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Pierce,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Ramsey,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Ramsey,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Ramsey,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ramsey,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ramsey,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Ramsey,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Ramsey,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ramsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Ramsey,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Ramsey,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Ramsey,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ramsey,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ransom,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Ransom,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Ransom,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ransom,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ransom,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Ransom,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Ransom,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Ransom,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Ransom,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Ransom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Ransom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ransom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ransom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Ransom,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Ransom,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Ransom,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ransom,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ransom,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Ransom,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Ransom,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Renville,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Renville,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Renville,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Renville,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Richland,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Richland,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Richland,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Richland,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Richland,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Richland,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Richland,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Richland,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Richland,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Richland,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Richland,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Richland,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Richland,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Richland,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Richland,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Richland,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Richland,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Richland,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Richland,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Rolette,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Rolette,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Rolette,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Rolette,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Rolette,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Rolette,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Sargent,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Sargent,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sargent,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sargent,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Sargent,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Sargent,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Sargent,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Sargent,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Sargent,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sargent,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sargent,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sheridan,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Sheridan,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sheridan,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sheridan,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Sheridan,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Sheridan,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Sheridan,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Sheridan,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Sheridan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sheridan,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sheridan,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sioux,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Sioux,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sioux,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Sioux,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Sioux,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Sioux,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Sioux,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Slope,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Slope,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Slope,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Slope,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Slope,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Slope,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Slope,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Slope,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Stark,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Stark,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Stark,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Stark,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Stark,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Stark,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Stark,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Stark,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Steele,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Steele,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Steele,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Steele,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Steele,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Steele,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Steele,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Steele,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Steele,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Steele,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Steele,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Steele,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Steele,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Stutsman,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Stutsman,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
North Dakota,Stutsman,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
North Dakota,Stutsman,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
North Dakota,Stutsman,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Stutsman,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Stutsman,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Stutsman,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Stutsman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Stutsman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Stutsman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Stutsman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Stutsman,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Stutsman,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Stutsman,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
North Dakota,Stutsman,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
North Dakota,Stutsman,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
North Dakota,Stutsman,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Stutsman,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Stutsman,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Stutsman,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Stutsman,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Towner,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Towner,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Towner,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Towner,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Towner,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Towner,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Traill,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Traill,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Traill,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Traill,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Traill,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Traill,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Traill,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Traill,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Traill,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Traill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Traill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Traill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Traill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Traill,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Traill,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Traill,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Traill,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Traill,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Traill,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Traill,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Walsh,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Walsh,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Walsh,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Walsh,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Walsh,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Walsh,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Walsh,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Walsh,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Walsh,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Walsh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Walsh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Walsh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Walsh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Walsh,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,002,0,,,$26.30 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Walsh,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
North Dakota,Walsh,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Walsh,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ward,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Ward,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Ward,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ward,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Ward,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Ward,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Ward,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Ward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Ward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Ward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
North Dakota,Ward,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8967,001,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Ward,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8967,002,0,,,$50.50 ,$14.50 ,$0.00 ,$14.50 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
North Dakota,Wells,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Wells,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Wells,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Wells,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Wells,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
North Dakota,Wells,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
North Dakota,Wells,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Wells,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Wells,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H9431,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Wells,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H9431,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Wells,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H9431,018,0,,,$92.60 ,$42.40 ,$0.00 ,$42.40 ,$0.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
North Dakota,Williams,UnitedHealthcare,Local CCP,UHC Medicare Advantage ND-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,017,0,,Yes,$0.00 ,$40.70 ,$0.00 ,$40.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
North Dakota,Williams,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
North Dakota,Williams,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Williams,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
North Dakota,Williams,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
North Dakota,Williams,NextBlue of North Dakota,Local CCP,NextBlue Classic PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,001,0,,,$0.00 ,($3.00),$3.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.5
North Dakota,Williams,NextBlue of North Dakota,Local CCP,NextBlue Premium PPO (PPO),Local PPO,No,,Enhanced Alternative,H6202,002,0,,,$64.90 ,$4.10 ,$0.00 ,$4.10 ,$0.00 ,$200.00 ,1,,,4.0,4.5,4.5
North Dakota,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0001 (PPO),Local PPO,No,,Defined Standard Benefit,H7404,004,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
North Dakota,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0002 (PPO),Local PPO,No,,Enhanced Alternative,H7404,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$445.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0003 (PPO),Local PPO,No,,Enhanced Alternative,H7404,006,0,,,$1.20 ,$48.80 ,$0.00 ,$48.80 ,$6.60 ,$295.00 ,1,,Yes,3.5,4.0,3.5
North Dakota,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC FG-0004 (PPO),Local PPO,No,,Enhanced Alternative,H7404,022,0,,,$64.40 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Northern Mariana Islands,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Defined Standard Benefit,S5820,036,0,Yes,,,$55.60 ,$0.00 ,$55.60 ,$55.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Ohio,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,085,0,Yes,Yes,,$36.60 ,$0.00 ,$36.60 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Ohio,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,149,0,Yes,,,($21.30),$21.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Ohio,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,217,0,Yes,,,$29.90 ,$49.00 ,$78.90 ,$49.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Ohio,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,013,0,,,,$66.80 ,$0.00 ,$66.80 ,$25.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,014,0,,,,$60.50 ,$41.70 ,$102.20 ,$61.30 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,028,0,Yes,,,$44.10 ,$0.00 ,$44.10 ,$3.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,029,0,Yes,,,$38.50 ,$62.60 ,$101.10 ,$62.60 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,189,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,068,0,Yes,,,$55.70 ,$0.00 ,$55.70 ,$14.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,259,0,Yes,,,$64.50 ,$14.70 ,$79.20 ,$38.30 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,364,0,Yes,,,$1.50 ,$17.70 ,$19.20 ,$17.70 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,013,0,Yes,,,$66.00 ,$33.80 ,$99.80 ,$58.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Ohio,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,137,0,Yes,,,$65.00 ,$0.00 ,$65.00 ,$24.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Ohio,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,160,0,Yes,,,$82.40 ,$26.40 ,$108.80 ,$67.90 ,$500.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Ohio,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,193,0,Yes,,,$34.60 ,$5.40 ,$40.00 ,$5.40 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Ohio,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,359,0,Yes,,,$63.80 ,$0.00 ,$63.80 ,$22.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,395,0,Yes,,,$46.30 ,$7.90 ,$54.20 ,$13.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Ohio,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,013,0,,,,$85.00 ,$0.00 ,$85.00 ,$44.10 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Ohio,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,083,0,,,,$70.00 ,$16.50 ,$86.50 ,$45.60 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Ohio,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,116,0,,,,($4.50),$28.60 ,$24.10 ,$24.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Ohio,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Adams,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Adams,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Adams,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Adams,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Adams,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Adams,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Adams,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Adams,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Adams,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Adams,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Adams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Adams,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Adams,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Adams,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Adams,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Adams,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Adams,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Adams,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Adams,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Adams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Adams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Adams,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Adams,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Adams,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Adams,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Adams,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Adams,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Adams,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Adams,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Adams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Adams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Adams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Adams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Adams,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Adams,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Adams,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Adams,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Allen,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Allen,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Allen,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Allen,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Allen,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Allen,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Allen,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Allen,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Allen,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Allen,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Allen,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Allen,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Allen,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Allen,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Allen,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Allen,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Allen,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Allen,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Allen,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Allen,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Allen,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Allen,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Allen,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Allen,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Allen,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Allen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Allen,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Allen,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Allen,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Allen,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Allen,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Allen,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Allen,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Allen,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Allen,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Allen,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Allen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Allen,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Allen,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Allen,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Allen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Allen,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Allen,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Allen,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Allen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Allen,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Allen,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Allen,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Allen,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Allen,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Allen,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Allen,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Allen,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Ashland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ashland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Ashland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Ashland,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Ashland,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ashland,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Ashland,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Ashland,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Ashland,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Ashland,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Ashland,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Ashland,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Ashland,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Ashland,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashland,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashland,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashland,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashland,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Ashland,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ashland,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ashland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Ashland,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Ashland,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Ashland,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashland,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ashland,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ashland,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Ashland,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Ashland,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Ashland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Ashland,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Ashland,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Ashland,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Ashland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Ashland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Ashland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Ashland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Ashland,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Ashland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ashland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ashtabula,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Ashtabula,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Ashtabula,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashtabula,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ashtabula,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ashtabula,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Ashtabula,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ashtabula,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ashtabula,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashtabula,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ashtabula,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ashtabula,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Ashtabula,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Ashtabula,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashtabula,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ashtabula,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Ashtabula,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Ashtabula,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Ashtabula,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Ashtabula,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ashtabula,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Athens,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Athens,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Athens,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Athens,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Athens,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Athens,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Athens,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Athens,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Athens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Athens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Athens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Athens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Athens,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Athens,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Athens,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Athens,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Athens,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Athens,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Athens,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Athens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Athens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Athens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Athens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Athens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Athens,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Athens,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Athens,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Athens,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Athens,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Athens,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Athens,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Athens,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Athens,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Athens,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Athens,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Athens,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Athens,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Athens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Athens,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Athens,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Athens,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Athens,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Athens,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Athens,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Athens,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Athens,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Auglaize,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Auglaize,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Auglaize,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Auglaize,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Auglaize,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Auglaize,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Auglaize,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Auglaize,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Auglaize,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Auglaize,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Auglaize,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Auglaize,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Auglaize,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Auglaize,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Auglaize,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Auglaize,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Auglaize,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Auglaize,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Auglaize,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Auglaize,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Auglaize,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Auglaize,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Auglaize,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Auglaize,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Auglaize,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Auglaize,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Auglaize,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Auglaize,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Auglaize,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Auglaize,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Auglaize,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Auglaize,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Auglaize,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Auglaize,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Auglaize,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Auglaize,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Auglaize,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Auglaize,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Auglaize,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Auglaize,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Auglaize,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Auglaize,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Auglaize,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Auglaize,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Auglaize,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Auglaize,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Auglaize,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Auglaize,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Auglaize,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Auglaize,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Auglaize,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Auglaize,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Auglaize,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Belmont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Belmont,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Belmont,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Belmont,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Belmont,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Belmont,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Belmont,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Belmont,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Belmont,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Belmont,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Belmont,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Belmont,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
Ohio,Belmont,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Belmont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Belmont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Belmont,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Belmont,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Belmont,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Belmont,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Belmont,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Belmont,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Belmont,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Belmont,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Belmont,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Belmont,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Belmont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Belmont,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Belmont,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Belmont,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Brown,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Brown,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Brown,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Brown,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Brown,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Brown,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Brown,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Brown,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Brown,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Brown,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Brown,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Brown,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Brown,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Brown,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Brown,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Brown,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Brown,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Brown,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Brown,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Brown,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Brown,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Brown,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Brown,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Brown,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Brown,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Brown,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Brown,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Brown,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Brown,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Brown,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Brown,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Brown,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Brown,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Brown,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Brown,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Brown,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Brown,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Brown,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Brown,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Brown,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Brown,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Brown,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Brown,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Brown,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Brown,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Butler,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Butler,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Butler,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Butler,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Butler,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Butler,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Butler,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Butler,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Butler,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Butler,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Butler,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Butler,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Butler,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Butler,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Butler,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Butler,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Butler,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Butler,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,3,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,3,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$10.10 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Butler,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Butler,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Butler,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Butler,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Butler,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Butler,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Butler,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Butler,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Butler,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Butler,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Butler,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Butler,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Butler,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Butler,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Butler,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Butler,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Butler,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Butler,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Butler,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Butler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Butler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Butler,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Butler,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Butler,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Butler,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Butler,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Butler,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Butler,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Butler,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Butler,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Butler,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Butler,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Butler,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Butler,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Butler,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Carroll,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Carroll,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Carroll,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Carroll,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Carroll,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Carroll,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Carroll,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Carroll,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Carroll,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Carroll,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Carroll,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Carroll,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Carroll,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Carroll,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Carroll,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Carroll,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Carroll,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Carroll,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Carroll,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Carroll,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Carroll,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Carroll,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Carroll,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Carroll,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Carroll,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Carroll,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Carroll,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Carroll,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Carroll,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Carroll,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Carroll,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Carroll,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Carroll,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Champaign,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Champaign,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Champaign,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Champaign,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Champaign,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Champaign,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Champaign,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Champaign,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Champaign,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Champaign,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Champaign,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Champaign,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Champaign,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Champaign,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Champaign,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Champaign,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Champaign,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Champaign,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Champaign,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Champaign,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Champaign,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Champaign,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Champaign,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Champaign,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Champaign,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Champaign,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Champaign,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Champaign,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Champaign,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Champaign,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Champaign,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Champaign,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Champaign,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Champaign,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Champaign,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Champaign,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Champaign,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Champaign,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Champaign,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Champaign,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Champaign,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Champaign,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Champaign,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Champaign,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Champaign,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Champaign,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Champaign,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Champaign,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Champaign,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Champaign,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Champaign,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clark,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Clark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clark,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Clark,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Clark,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Clark,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clark,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clark,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clark,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clark,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clark,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Clark,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clark,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clark,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clark,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Clark,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Clark,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Clark,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Clark,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Clark,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clark,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Clark,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Clark,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Clark,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Clark,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Clark,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clark,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clark,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clark,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Clark,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Clark,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clark,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Clark,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Clark,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Clark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Clark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Clark,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clark,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Clark,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clark,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clermont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Clermont,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Clermont,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clermont,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Clermont,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Clermont,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Clermont,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clermont,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clermont,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clermont,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clermont,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clermont,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Clermont,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clermont,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clermont,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clermont,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clermont,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Clermont,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Clermont,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Clermont,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clermont,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Clermont,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clermont,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Clermont,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clermont,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clermont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clermont,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clermont,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Clermont,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Clermont,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clermont,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Clermont,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Clermont,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Clermont,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Clermont,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clermont,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clermont,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clermont,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Clermont,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Clermont,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clermont,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Clermont,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Clermont,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Clermont,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Clermont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Clermont,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clermont,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clermont,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clermont,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clermont,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Clermont,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clermont,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Clermont,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Clermont,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clermont,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clinton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Clinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Clinton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Clinton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Clinton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Clinton,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Clinton,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Clinton,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clinton,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clinton,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Clinton,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Clinton,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clinton,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Clinton,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clinton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Clinton,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clinton,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clinton,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Clinton,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Clinton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Clinton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Clinton,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Clinton,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Clinton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clinton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Clinton,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Clinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Clinton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Clinton,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Clinton,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clinton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clinton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Clinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Clinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Clinton,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Clinton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Clinton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Clinton,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clinton,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clinton,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Clinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Clinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Clinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Clinton,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Clinton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Clinton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Columbiana,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Columbiana,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Columbiana,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Columbiana,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Columbiana,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Columbiana,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Columbiana,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Columbiana,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Columbiana,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Columbiana,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Columbiana,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Columbiana,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Columbiana,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Columbiana,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Columbiana,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Columbiana,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Columbiana,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Columbiana,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Columbiana,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Columbiana,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Columbiana,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Columbiana,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Columbiana,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Columbiana,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Columbiana,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Columbiana,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Columbiana,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Columbiana,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Columbiana,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Columbiana,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Columbiana,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Columbiana,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Columbiana,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Columbiana,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Columbiana,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Columbiana,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Columbiana,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Columbiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Columbiana,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Columbiana,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Columbiana,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Columbiana,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Columbiana,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Columbiana,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Columbiana,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Coshocton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Coshocton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Coshocton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Coshocton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Coshocton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Coshocton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Coshocton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Coshocton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Coshocton,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Coshocton,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Coshocton,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Coshocton,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Coshocton,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Coshocton,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Coshocton,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Coshocton,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Coshocton,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Coshocton,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Coshocton,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Coshocton,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Coshocton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Coshocton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Coshocton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Coshocton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Coshocton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Coshocton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Coshocton,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Coshocton,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Coshocton,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Coshocton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Coshocton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Coshocton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Coshocton,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Coshocton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Coshocton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Coshocton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Coshocton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Coshocton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Coshocton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Coshocton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Coshocton,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Coshocton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Coshocton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Crawford,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Crawford,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Crawford,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Crawford,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Crawford,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Crawford,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Crawford,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Crawford,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Crawford,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Crawford,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Crawford,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Crawford,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Crawford,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Crawford,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Crawford,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Crawford,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Crawford,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Crawford,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Crawford,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Crawford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Crawford,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Crawford,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Crawford,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Crawford,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Crawford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Crawford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Crawford,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Crawford,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Crawford,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Crawford,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Crawford,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Crawford,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Crawford,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Crawford,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Crawford,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Crawford,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Cuyahoga,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Cuyahoga,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Cuyahoga,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Cuyahoga,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Cuyahoga,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Cuyahoga,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Cuyahoga,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Cuyahoga,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Cuyahoga,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Cuyahoga,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3655,047,0,,,$0.00 ,($1.80),$1.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,PrimeTime Health Plan,Local CCP,University Hospitals MA Red Plan by PTHP (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Cuyahoga,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Cuyahoga,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Cuyahoga,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Cuyahoga,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Cuyahoga,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Cuyahoga,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Cuyahoga,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Cuyahoga,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Cuyahoga,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Cuyahoga,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Cuyahoga,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Cuyahoga,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Cuyahoga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Cuyahoga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Cuyahoga,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Cuyahoga,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Cuyahoga,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Cuyahoga,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Cuyahoga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Cuyahoga,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Cuyahoga,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Cuyahoga,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Cuyahoga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Cuyahoga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Cuyahoga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Cuyahoga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Cuyahoga,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Cuyahoga,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Cuyahoga,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Darke,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Darke,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Darke,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Darke,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Darke,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Darke,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Darke,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Darke,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Darke,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Darke,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Darke,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Darke,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Darke,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Darke,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Darke,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Darke,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Darke,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Darke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Darke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Darke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Darke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Darke,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Darke,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Darke,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Darke,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Darke,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Darke,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Darke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Darke,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Darke,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Darke,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Darke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Darke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Darke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Darke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Darke,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Darke,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Darke,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Darke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Darke,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Darke,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Darke,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Darke,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Darke,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Darke,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Darke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Darke,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Darke,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Darke,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Darke,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Darke,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Darke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Darke,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Darke,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Darke,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Darke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Darke,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Darke,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Darke,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Darke,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Darke,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Darke,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Darke,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Darke,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Defiance,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Defiance,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Defiance,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Defiance,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Defiance,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Defiance,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Defiance,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Defiance,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Defiance,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Defiance,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Defiance,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Defiance,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Defiance,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Defiance,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Defiance,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Defiance,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Defiance,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Defiance,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Defiance,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Defiance,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Defiance,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Defiance,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Defiance,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Defiance,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Defiance,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Defiance,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Defiance,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Defiance,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Defiance,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Defiance,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Defiance,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Defiance,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Defiance,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Defiance,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Defiance,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Defiance,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Defiance,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Defiance,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Defiance,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Defiance,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Defiance,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Defiance,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Delaware,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Delaware,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Delaware,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Delaware,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Delaware,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Delaware,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Delaware,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Delaware,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Delaware,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Delaware,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Delaware,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Delaware,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Delaware,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Delaware,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3931,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Delaware,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Delaware,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Delaware,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Delaware,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Delaware,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Delaware,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Delaware,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Delaware,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Delaware,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Delaware,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Delaware,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Delaware,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Delaware,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Delaware,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Delaware,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Delaware,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Delaware,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Delaware,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Delaware,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Delaware,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Delaware,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Delaware,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Delaware,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Delaware,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Delaware,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Delaware,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Delaware,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Erie,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Erie,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Erie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Erie,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Erie,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Erie,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Erie,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Erie,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Erie,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Erie,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Erie,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Erie,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Erie,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Erie,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Erie,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Erie,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Erie,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Erie,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Erie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Erie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Erie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Erie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Erie,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Erie,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Erie,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Erie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Erie,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Erie,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Erie,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Erie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Erie,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Erie,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Erie,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Erie,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Erie,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Erie,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Erie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Erie,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Erie,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Erie,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Erie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Erie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Erie,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Erie,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Erie,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Erie,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Erie,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Erie,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Erie,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Erie,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Erie,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Erie,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Erie,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Fairfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Fairfield,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fairfield,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Fairfield,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Fairfield,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Fairfield,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fairfield,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fairfield,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Fairfield,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Fairfield,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Fairfield,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Fairfield,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Fairfield,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fairfield,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Fairfield,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Fairfield,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Fairfield,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Fairfield,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Fairfield,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Fairfield,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Fairfield,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Fairfield,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fairfield,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fairfield,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Fairfield,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fairfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Fairfield,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Fairfield,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fairfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Fairfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Fairfield,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Fairfield,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Fairfield,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Fairfield,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fairfield,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Fairfield,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fairfield,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Fairfield,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Fairfield,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Fairfield,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Fayette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Fayette,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Fayette,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fayette,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Fayette,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fayette,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fayette,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fayette,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fayette,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fayette,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Fayette,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Fayette,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fayette,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Fayette,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fayette,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Fayette,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Fayette,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Fayette,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fayette,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Fayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Fayette,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Fayette,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Fayette,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fayette,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Fayette,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fayette,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Fayette,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Fayette,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Fayette,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Franklin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Franklin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Franklin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Franklin,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Franklin,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Franklin,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Franklin,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Franklin,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Franklin,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Franklin,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3655,047,0,,,$0.00 ,($1.80),$1.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Franklin,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Franklin,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Franklin,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H3931,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Franklin,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Franklin,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Franklin,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Franklin,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Franklin,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Franklin,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Franklin,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Franklin,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Franklin,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Franklin,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Franklin,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Franklin,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Franklin,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Franklin,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Franklin,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Franklin,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Franklin,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Franklin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Franklin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Franklin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Franklin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Franklin,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Franklin,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Franklin,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fulton,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fulton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Fulton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Fulton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Fulton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Fulton,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Fulton,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Fulton,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Fulton,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Fulton,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Fulton,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Fulton,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Fulton,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Fulton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Fulton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Fulton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Fulton,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Fulton,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Fulton,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Fulton,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Fulton,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Fulton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Fulton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Fulton,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fulton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fulton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Fulton,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Fulton,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Fulton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Fulton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Fulton,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Fulton,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fulton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fulton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Fulton,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Fulton,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Fulton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Fulton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Fulton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Fulton,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Fulton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Fulton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Fulton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fulton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Fulton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Fulton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Fulton,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Fulton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Fulton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Gallia,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Gallia,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Gallia,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Gallia,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Gallia,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Gallia,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Gallia,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Gallia,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Gallia,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Gallia,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Gallia,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Gallia,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Gallia,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Gallia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Gallia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Gallia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Gallia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Gallia,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Gallia,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Gallia,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Gallia,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Gallia,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Gallia,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Gallia,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Gallia,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Gallia,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Gallia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Gallia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Gallia,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Gallia,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Gallia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Gallia,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Gallia,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Gallia,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Gallia,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Gallia,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Gallia,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Gallia,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Geauga,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Geauga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Geauga,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Geauga,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Geauga,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Geauga,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Geauga,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Geauga,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Geauga,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Geauga,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Geauga,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Geauga,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Geauga,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Geauga,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Geauga,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Geauga,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Geauga,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Geauga,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Geauga,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Geauga,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Geauga,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Geauga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Geauga,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Geauga,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Geauga,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Geauga,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Geauga,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Geauga,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Geauga,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Geauga,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Geauga,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Geauga,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Geauga,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Geauga,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Geauga,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Geauga,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Geauga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Geauga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Geauga,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Geauga,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Geauga,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Geauga,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Geauga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Geauga,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Geauga,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Geauga,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Geauga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Geauga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Geauga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Geauga,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Geauga,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Geauga,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Geauga,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Greene,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Greene,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Greene,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Greene,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Greene,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Greene,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Greene,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Greene,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Greene,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Greene,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Greene,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Greene,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Greene,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Greene,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Greene,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Greene,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Greene,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Greene,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Greene,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Greene,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Greene,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Greene,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Greene,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Greene,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Greene,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Greene,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Greene,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Greene,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Greene,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Greene,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Greene,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Greene,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Greene,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Greene,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Greene,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Greene,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Greene,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Greene,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Greene,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Greene,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Greene,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Greene,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Greene,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Greene,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Greene,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Guernsey,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Guernsey,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Guernsey,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Guernsey,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Guernsey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Guernsey,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Guernsey,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Guernsey,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Guernsey,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Guernsey,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Guernsey,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Guernsey,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Guernsey,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Guernsey,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Guernsey,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Guernsey,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Guernsey,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Guernsey,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Guernsey,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Guernsey,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Guernsey,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Guernsey,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Guernsey,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Guernsey,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Guernsey,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Guernsey,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Guernsey,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Guernsey,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Guernsey,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Guernsey,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Guernsey,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Guernsey,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Guernsey,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Guernsey,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Guernsey,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Guernsey,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Guernsey,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Guernsey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Guernsey,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Guernsey,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Guernsey,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Guernsey,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Guernsey,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Guernsey,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Guernsey,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hamilton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Hamilton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hamilton,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Hamilton,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hamilton,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hamilton,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hamilton,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Hamilton,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hamilton,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hamilton,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hamilton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3655,047,0,,,$0.00 ,($1.80),$1.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hamilton,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Hamilton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Hamilton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,3,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,3,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$10.10 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Hamilton,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hamilton,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Hamilton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hamilton,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Hamilton,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Hamilton,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Hamilton,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Hamilton,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Hamilton,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Hamilton,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hamilton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hamilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Hamilton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Hamilton,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Hamilton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Hamilton,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Hamilton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Hamilton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Hamilton,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Hamilton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hamilton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Hamilton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hamilton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Hamilton,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Hamilton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hamilton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hancock,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hancock,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Hancock,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Hancock,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Hancock,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hancock,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Hancock,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hancock,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hancock,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hancock,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hancock,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Hancock,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hancock,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hancock,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Hancock,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Hancock,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Hancock,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hancock,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Hancock,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hancock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Hancock,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Hancock,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Hancock,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hancock,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hancock,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Hancock,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Hancock,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Hancock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Hancock,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Hancock,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hancock,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Hancock,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hancock,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Hancock,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Hancock,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hancock,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hardin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hardin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Hardin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Hardin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Hardin,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hardin,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Hardin,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hardin,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hardin,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hardin,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hardin,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Hardin,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hardin,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hardin,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Hardin,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Hardin,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hardin,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hardin,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Hardin,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Hardin,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hardin,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hardin,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hardin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Hardin,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Hardin,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Hardin,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Hardin,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hardin,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hardin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Hardin,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Hardin,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hardin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Hardin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Hardin,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Hardin,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Hardin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hardin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Hardin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hardin,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Hardin,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Hardin,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hardin,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Harrison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Harrison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Harrison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Harrison,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Harrison,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Harrison,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Harrison,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Harrison,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Harrison,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Harrison,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Harrison,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Harrison,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Harrison,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Harrison,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Harrison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Harrison,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Harrison,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Harrison,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Harrison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Harrison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Harrison,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Harrison,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Harrison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Harrison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Harrison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Harrison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Harrison,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Harrison,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Harrison,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Henry,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Henry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Henry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Henry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Henry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Henry,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Henry,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Henry,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Henry,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Henry,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Henry,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Henry,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Henry,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Henry,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Henry,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Henry,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Henry,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Henry,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Henry,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Henry,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Henry,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Henry,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Henry,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Henry,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Henry,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Henry,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Henry,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Henry,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Henry,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Henry,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Henry,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Henry,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Henry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Henry,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Henry,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Henry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Henry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Henry,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Henry,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Henry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Henry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Henry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Henry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Henry,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Henry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Henry,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Henry,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Highland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Highland,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Highland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Highland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Highland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Highland,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Highland,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Highland,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Highland,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Highland,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Highland,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Highland,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Highland,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Highland,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Highland,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Highland,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Highland,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Highland,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Highland,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Highland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Highland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Highland,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Highland,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Highland,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Highland,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Highland,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Highland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Highland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Highland,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Highland,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Highland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Highland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Highland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Highland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Highland,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Highland,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Highland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Highland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hocking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Hocking,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hocking,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Hocking,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hocking,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Hocking,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Hocking,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Hocking,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Hocking,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Hocking,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Hocking,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Hocking,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hocking,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Hocking,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Hocking,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hocking,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Hocking,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hocking,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hocking,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Hocking,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Hocking,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Hocking,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Hocking,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Hocking,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hocking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hocking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hocking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Hocking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Hocking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hocking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Hocking,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Hocking,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Hocking,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Hocking,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Hocking,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Hocking,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hocking,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Hocking,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Hocking,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Hocking,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Hocking,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Hocking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Hocking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hocking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Hocking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Hocking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Hocking,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Hocking,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Hocking,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Holmes,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Holmes,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Holmes,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Holmes,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Holmes,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Holmes,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Holmes,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Holmes,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Holmes,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Holmes,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Holmes,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Holmes,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Holmes,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Holmes,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Holmes,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Holmes,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Holmes,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Holmes,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Holmes,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Holmes,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Holmes,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Holmes,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Holmes,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Holmes,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Holmes,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Holmes,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Holmes,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Holmes,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Holmes,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Holmes,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Holmes,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Holmes,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Holmes,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Holmes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Holmes,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Holmes,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Holmes,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Holmes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Holmes,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Holmes,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Holmes,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Holmes,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Holmes,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Holmes,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Holmes,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Huron,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Huron,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Huron,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Huron,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Huron,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Huron,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Huron,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Huron,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Huron,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Huron,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Huron,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Huron,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Huron,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Huron,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Huron,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Huron,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Huron,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Huron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Huron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Huron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Huron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Huron,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Huron,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Huron,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Huron,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Huron,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Huron,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Huron,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Huron,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Huron,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Huron,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Huron,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Huron,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Huron,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Huron,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Huron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Huron,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Huron,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Huron,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Huron,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Huron,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Huron,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Huron,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Huron,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Jackson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Jackson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Jackson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Jackson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Jackson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Jackson,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Jackson,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jackson,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Jackson,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Jackson,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Jackson,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Jackson,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Jackson,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Jackson,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Jackson,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Jackson,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Jackson,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Jackson,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jackson,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Jackson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Jackson,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Jackson,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Jackson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Jackson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Jackson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Jackson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Jackson,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Jackson,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Jackson,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Jefferson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Jefferson,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Jefferson,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Jefferson,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Jefferson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Jefferson,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Jefferson,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jefferson,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Jefferson,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Jefferson,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Jefferson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Jefferson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Jefferson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Jefferson,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Jefferson,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Jefferson,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Jefferson,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Knox,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Knox,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Knox,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Knox,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Knox,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Knox,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Knox,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Knox,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Knox,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Knox,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Knox,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Knox,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Knox,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Knox,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Knox,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Knox,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Knox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Knox,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Knox,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Knox,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Knox,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Knox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Knox,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Knox,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Knox,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Knox,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Knox,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Knox,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Knox,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Knox,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Knox,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Knox,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Knox,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Knox,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Knox,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Knox,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Knox,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Knox,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Knox,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Knox,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Knox,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lake,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Lake,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lake,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Lake,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Lake,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Lake,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lake,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lake,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Lake,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lake,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lake,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lake,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Lake,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lake,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lake,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lake,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,PrimeTime Health Plan,Local CCP,University Hospitals MA Red Plan by PTHP (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Lake,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Lake,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Lake,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lake,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lake,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Lake,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Lake,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lake,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Lake,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Lake,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Lake,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Lake,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lake,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lake,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Lake,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Lake,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lake,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lake,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Lake,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lake,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lake,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Lake,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Lake,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lake,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lake,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lake,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lake,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Lake,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lake,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Lake,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lake,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Lake,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lake,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Lawrence,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lawrence,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Lawrence,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Lawrence,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Lawrence,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lawrence,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lawrence,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lawrence,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Lawrence,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Lawrence,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Lawrence,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Lawrence,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lawrence,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Lawrence,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Lawrence,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Lawrence,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lawrence,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Lawrence,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lawrence,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Lawrence,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Lawrence,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lawrence,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Licking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Licking,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Licking,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Licking,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Licking,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Licking,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Licking,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Licking,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Licking,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Licking,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Licking,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Licking,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Licking,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Licking,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Licking,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Licking,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Licking,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Licking,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Licking,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Licking,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Licking,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Licking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Licking,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Licking,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Licking,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Licking,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Licking,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Licking,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Licking,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Licking,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Licking,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Licking,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Licking,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Licking,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Licking,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Licking,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Licking,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Licking,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Licking,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Licking,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Licking,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Licking,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Licking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Licking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Licking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Licking,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Licking,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Licking,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Licking,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Licking,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Logan,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Logan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Logan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Logan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Logan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Logan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Logan,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Logan,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Logan,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Logan,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Logan,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Logan,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Logan,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Logan,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Logan,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Logan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Logan,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Logan,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Logan,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Logan,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Logan,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Logan,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Logan,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Logan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Logan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Logan,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Logan,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Logan,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Logan,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Logan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Logan,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Logan,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Logan,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Logan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Logan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Logan,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Logan,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Logan,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Logan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Logan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Logan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Logan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Logan,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Logan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Logan,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Logan,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lorain,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Lorain,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lorain,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Lorain,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Lorain,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Lorain,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lorain,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lorain,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Lorain,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lorain,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lorain,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lorain,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Lorain,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lorain,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lorain,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lorain,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,PrimeTime Health Plan,Local CCP,University Hospitals MA Red Plan by PTHP (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Lorain,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Lorain,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Lorain,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Lorain,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lorain,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lorain,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lorain,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Lorain,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Lorain,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lorain,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Lorain,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Lorain,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Lorain,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lorain,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lorain,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lorain,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Lorain,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Lorain,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lorain,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lorain,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lorain,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Lorain,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Lorain,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Lorain,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lorain,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Lorain,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Lorain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Lorain,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lorain,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Lorain,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lorain,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Lorain,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Lorain,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lorain,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lucas,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lucas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lucas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Lucas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lucas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Lucas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Lucas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Lucas,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Lucas,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Lucas,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lucas,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Lucas,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lucas,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Lucas,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Lucas,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lucas,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Lucas,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lucas,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lucas,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Lucas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lucas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lucas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Lucas,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Lucas,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Lucas,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,109,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Lucas,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lucas,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Lucas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lucas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lucas,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Lucas,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Lucas,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Lucas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Lucas,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Lucas,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Lucas,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Lucas,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lucas,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Lucas,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lucas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Lucas,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Lucas,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lucas,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Lucas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Lucas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Lucas,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Lucas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Lucas,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lucas,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lucas,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Lucas,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lucas,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Lucas,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Lucas,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Lucas,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Lucas,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Lucas,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Madison,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Madison,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Madison,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Madison,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Madison,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Madison,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Madison,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Madison,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Madison,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Madison,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Madison,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Madison,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Madison,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Madison,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Madison,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Madison,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Madison,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Madison,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Madison,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Madison,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Madison,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Madison,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Madison,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Madison,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Madison,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Madison,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Madison,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Madison,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Madison,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Madison,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Madison,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Madison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Madison,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Madison,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Madison,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Madison,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Madison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Madison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Madison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Madison,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Madison,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Madison,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Madison,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Madison,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Mahoning,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Mahoning,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Mahoning,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Mahoning,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Mahoning,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Mahoning,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Mahoning,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Mahoning,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Mahoning,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Mahoning,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Mahoning,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Mahoning,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Mahoning,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Mahoning,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Mahoning,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Mahoning,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Mahoning,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Mahoning,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Mahoning,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Mahoning,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Mahoning,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Mahoning,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Mahoning,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Mahoning,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mahoning,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Mahoning,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Mahoning,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Mahoning,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Mahoning,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Mahoning,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mahoning,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Mahoning,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Mahoning,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Mahoning,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Mahoning,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Mahoning,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Mahoning,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Mahoning,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Mahoning,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Mahoning,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Mahoning,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Mahoning,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Mahoning,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Mahoning,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Mahoning,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Mahoning,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Mahoning,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Marion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Marion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Marion,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Marion,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Marion,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Marion,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Marion,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Marion,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Marion,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Marion,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Marion,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Marion,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Marion,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
Ohio,Marion,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Marion,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Marion,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Marion,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Marion,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Marion,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Marion,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Marion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Marion,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Marion,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Marion,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Marion,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Marion,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Marion,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Marion,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Marion,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Marion,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Medina,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Medina,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Medina,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Medina,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Medina,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Medina,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Medina,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Medina,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Medina,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Medina,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Medina,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Medina,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Medina,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Medina,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Medina,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Medina,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Medina,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Medina,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Medina,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Medina,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Medina,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Medina,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Medina,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Medina,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Medina,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Medina,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Medina,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Medina,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Medina,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Medina,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Medina,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Medina,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Medina,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Medina,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Medina,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Medina,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Medina,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Medina,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Medina,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Medina,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Medina,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Medina,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Medina,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Medina,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Medina,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Medina,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Medina,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Medina,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Medina,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Medina,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Medina,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Medina,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Medina,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Meigs,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Meigs,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Meigs,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Meigs,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Meigs,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Meigs,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Meigs,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Meigs,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Meigs,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Meigs,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Meigs,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Meigs,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Meigs,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Meigs,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Meigs,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Meigs,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Meigs,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Meigs,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Meigs,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Meigs,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Meigs,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Meigs,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Meigs,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Meigs,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Meigs,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Meigs,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Meigs,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Meigs,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Meigs,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Meigs,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Meigs,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Meigs,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Meigs,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Meigs,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Meigs,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Meigs,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Meigs,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Meigs,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Meigs,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Meigs,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Meigs,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mercer,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Mercer,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Mercer,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Mercer,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Mercer,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Mercer,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Mercer,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Mercer,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Mercer,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Mercer,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Mercer,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Mercer,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Mercer,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Mercer,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Mercer,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Mercer,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Mercer,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Mercer,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Mercer,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Mercer,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Mercer,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Mercer,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Mercer,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Mercer,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Mercer,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Mercer,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Mercer,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Mercer,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mercer,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Mercer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Mercer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Mercer,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Mercer,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Mercer,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Mercer,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Mercer,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Mercer,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Mercer,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Mercer,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Mercer,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Miami,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Miami,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Miami,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Miami,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Miami,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Miami,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Miami,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Miami,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Miami,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Miami,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Miami,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Miami,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Miami,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Miami,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Miami,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Miami,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Miami,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Miami,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Miami,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Miami,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Miami,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Miami,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Miami,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Miami,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Miami,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Miami,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Miami,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Miami,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Miami,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Miami,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Miami,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Miami,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Miami,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Miami,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Miami,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Miami,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Miami,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Miami,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Miami,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Miami,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Miami,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Miami,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Miami,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Miami,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Miami,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Miami,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Miami,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Miami,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Miami,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Miami,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Miami,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Miami,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Miami,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Miami,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Miami,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Miami,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Miami,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Miami,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Miami,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Miami,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Miami,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Monroe,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Monroe,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Monroe,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Monroe,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Monroe,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Monroe,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Monroe,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Monroe,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Monroe,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Monroe,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Monroe,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Monroe,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Monroe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Monroe,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Monroe,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Monroe,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Monroe,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Monroe,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Monroe,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Monroe,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Monroe,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Monroe,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Monroe,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Monroe,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Monroe,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Monroe,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Montgomery,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Montgomery,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Montgomery,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Montgomery,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Montgomery,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Montgomery,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Montgomery,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Montgomery,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Montgomery,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Montgomery,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Montgomery,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Montgomery,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Montgomery,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Montgomery,Communicare Advantage,Local CCP,CommuniCare Advantage CSNP (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3727,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Communicare Advantage,Local CCP,CommuniCare Advantage Sapphire (HMO),HMO,No,,Enhanced Alternative,H3727,004,3,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,1,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Communicare Advantage,Local CCP,CommuniCare Advantage Emerald (HMO),HMO,No,,Enhanced Alternative,H3727,005,3,,,$0.00 ,$51.00 ,$0.00 ,$51.00 ,$10.10 ,$0.00 ,,,Yes,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Montgomery,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Montgomery,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Montgomery,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Montgomery,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Montgomery,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Montgomery,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Montgomery,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Montgomery,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Montgomery,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Montgomery,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Montgomery,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Montgomery,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Montgomery,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Montgomery,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Montgomery,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Montgomery,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Montgomery,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Montgomery,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Montgomery,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Morgan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Morgan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Morgan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Morgan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Morgan,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Morgan,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Morgan,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morgan,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Morgan,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Morgan,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Morgan,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Morgan,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Morgan,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Morgan,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Morgan,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Morgan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Morgan,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Morgan,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Morgan,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morgan,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morgan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Morgan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Morgan,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Morgan,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Morgan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Morgan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Morgan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Morgan,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Morgan,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Morgan,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Morgan,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Morrow,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Morrow,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morrow,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Morrow,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Morrow,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Morrow,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Morrow,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Morrow,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Morrow,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Morrow,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Morrow,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Morrow,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Morrow,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Morrow,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Morrow,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Morrow,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Morrow,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Morrow,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Morrow,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Morrow,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Morrow,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Morrow,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Morrow,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morrow,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morrow,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Morrow,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Morrow,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Morrow,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Morrow,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Morrow,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morrow,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Morrow,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Morrow,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morrow,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Morrow,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Morrow,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Morrow,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Morrow,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Morrow,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Morrow,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Morrow,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Morrow,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Morrow,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Morrow,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Morrow,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Morrow,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Morrow,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Morrow,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Muskingum,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Muskingum,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Muskingum,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Muskingum,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Muskingum,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Muskingum,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Muskingum,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Muskingum,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Muskingum,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Muskingum,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Muskingum,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Muskingum,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Muskingum,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Muskingum,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Muskingum,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Muskingum,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Muskingum,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Muskingum,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Muskingum,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Muskingum,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Muskingum,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Muskingum,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Muskingum,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Muskingum,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Muskingum,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Muskingum,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Muskingum,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Muskingum,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Muskingum,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Muskingum,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Muskingum,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Muskingum,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Muskingum,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Muskingum,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Muskingum,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Muskingum,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Muskingum,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Noble,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Noble,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Noble,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Noble,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Noble,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Noble,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Noble,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Noble,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Noble,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Noble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Noble,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Noble,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Noble,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Noble,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Noble,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Noble,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Noble,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Noble,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Noble,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Noble,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Noble,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Noble,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Noble,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Noble,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Noble,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Noble,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Noble,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Noble,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Noble,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Noble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Noble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Noble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Noble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Noble,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Noble,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Noble,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Noble,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ottawa,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ottawa,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ottawa,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Ottawa,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Ottawa,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Ottawa,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ottawa,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Ottawa,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ottawa,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Ottawa,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Ottawa,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Ottawa,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Ottawa,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Ottawa,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Ottawa,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Ottawa,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Ottawa,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ottawa,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ottawa,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ottawa,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ottawa,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Ottawa,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Ottawa,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Ottawa,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Ottawa,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ottawa,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ottawa,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Ottawa,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Ottawa,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Ottawa,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Ottawa,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ottawa,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ottawa,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ottawa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Ottawa,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Ottawa,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ottawa,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ottawa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Ottawa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Ottawa,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Ottawa,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Ottawa,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Ottawa,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Ottawa,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Ottawa,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Ottawa,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Ottawa,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Ottawa,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ottawa,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Paulding,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Paulding,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Paulding,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Paulding,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Paulding,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Paulding,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Paulding,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Paulding,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Paulding,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Paulding,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Paulding,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Paulding,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Paulding,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Paulding,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Paulding,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Paulding,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Paulding,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Paulding,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Paulding,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Paulding,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Paulding,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Paulding,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Paulding,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Paulding,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Paulding,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Paulding,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Paulding,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Paulding,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Paulding,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Paulding,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Paulding,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Paulding,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Paulding,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Paulding,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Paulding,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Paulding,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Paulding,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Paulding,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Paulding,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Paulding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Paulding,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Paulding,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Paulding,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Paulding,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Paulding,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Paulding,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Paulding,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Perry,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Perry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Perry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Perry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Perry,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Perry,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Perry,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Perry,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Perry,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Perry,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Perry,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Perry,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Perry,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Perry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Perry,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Perry,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Perry,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Perry,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Perry,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Perry,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Perry,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Perry,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Perry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Perry,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Perry,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Perry,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Perry,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Perry,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Perry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Perry,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Perry,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Perry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Perry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Perry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Perry,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Perry,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Perry,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Perry,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Perry,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Pickaway,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Pickaway,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pickaway,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Pickaway,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pickaway,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Pickaway,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Pickaway,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Pickaway,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Pickaway,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Pickaway,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Pickaway,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Pickaway,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Pickaway,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Pickaway,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Pickaway,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Pickaway,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Pickaway,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pickaway,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pickaway,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pickaway,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pickaway,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Pickaway,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Pickaway,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Pickaway,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Pickaway,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Pickaway,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Pickaway,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pickaway,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pickaway,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Pickaway,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Pickaway,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Pickaway,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Pickaway,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Pickaway,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pickaway,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Pickaway,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Pickaway,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pickaway,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Pickaway,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Pickaway,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pickaway,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Pickaway,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Pickaway,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Pickaway,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Pickaway,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Pickaway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Pickaway,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Pickaway,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Pickaway,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Pickaway,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Pickaway,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Pickaway,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Pickaway,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Pike,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pike,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Pike,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Pike,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Pike,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Pike,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Pike,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Pike,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Pike,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Pike,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pike,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pike,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Pike,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Pike,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Pike,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Pike,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Pike,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Pike,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Pike,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Pike,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Pike,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Pike,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pike,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Pike,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Pike,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Pike,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Pike,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Pike,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Pike,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Pike,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Pike,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Pike,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Pike,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Pike,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Pike,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Portage,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Portage,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Portage,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Portage,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Portage,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Portage,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Portage,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Portage,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Portage,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Portage,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Portage,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Portage,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Portage,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Portage,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Portage,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Portage,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Portage,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Portage,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Portage,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Portage,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Portage,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Portage,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Portage,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Portage,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Portage,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Portage,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Portage,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Portage,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Portage,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Portage,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Portage,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Portage,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Portage,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Portage,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Portage,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Portage,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Portage,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Portage,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Portage,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Portage,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Portage,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Portage,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Portage,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Portage,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Portage,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Portage,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Portage,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Portage,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Portage,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Portage,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Preble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Preble,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Preble,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Preble,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Preble,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Preble,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Preble,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Preble,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Preble,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Preble,Health Alliance Medicare,Local CCP,Health Alliance Medicare HMO Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H1463,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Preble,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Preble,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Preble,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Preble,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Preble,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Preble,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Preble,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Preble,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Preble,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Preble,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Preble,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Preble,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Preble,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Preble,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Preble,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Preble,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Preble,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Preble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Preble,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Preble,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Preble,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Preble,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Preble,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Preble,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Preble,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Preble,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Preble,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Preble,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Preble,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Preble,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Preble,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Preble,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Preble,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Preble,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Preble,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Preble,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Preble,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Preble,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Preble,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Preble,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Preble,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Preble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Preble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Preble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Preble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Preble,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Preble,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Preble,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Preble,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Preble,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Putnam,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Putnam,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Putnam,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Putnam,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Putnam,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Putnam,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Putnam,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Putnam,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Putnam,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Putnam,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Putnam,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Putnam,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Putnam,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Putnam,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Putnam,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Putnam,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Putnam,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Putnam,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Putnam,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Putnam,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Putnam,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Putnam,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Putnam,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Putnam,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Putnam,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Putnam,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Putnam,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Putnam,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Putnam,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Putnam,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Putnam,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Putnam,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Putnam,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Putnam,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Putnam,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Putnam,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Putnam,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Putnam,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Putnam,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Putnam,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Putnam,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Putnam,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Putnam,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Putnam,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Richland,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Richland,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Richland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Richland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Richland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Richland,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Richland,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Richland,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Richland,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Richland,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Richland,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Richland,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Richland,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Richland,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Richland,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Richland,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Richland,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Richland,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Richland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Richland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Richland,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Richland,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Richland,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Richland,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Richland,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Richland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Richland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Richland,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Richland,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Richland,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Richland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Richland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Richland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Richland,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Richland,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Richland,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Richland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Richland,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ross,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Ross,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ross,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Ross,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ross,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Ross,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Ross,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Ross,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Ross,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Ross,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Ross,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ross,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ross,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Ross,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Ross,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Ross,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Ross,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Ross,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Ross,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Ross,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Ross,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Ross,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Ross,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Ross,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ross,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Ross,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Ross,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Ross,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Ross,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Ross,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Ross,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ross,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Ross,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Ross,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Ross,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Ross,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Ross,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Ross,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Ross,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Ross,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Ross,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Ross,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Sandusky,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Sandusky,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Sandusky,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Sandusky,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Sandusky,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Sandusky,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Sandusky,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Sandusky,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Sandusky,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Sandusky,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Sandusky,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Sandusky,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Sandusky,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Sandusky,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Sandusky,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Sandusky,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Sandusky,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Sandusky,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Sandusky,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Sandusky,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Sandusky,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Sandusky,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Sandusky,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Sandusky,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Sandusky,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Sandusky,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Sandusky,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Sandusky,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Sandusky,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Sandusky,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Sandusky,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Sandusky,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Sandusky,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Sandusky,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Sandusky,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Sandusky,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Sandusky,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Sandusky,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Sandusky,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Sandusky,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Sandusky,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Sandusky,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Sandusky,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Sandusky,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Sandusky,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Sandusky,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Sandusky,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Scioto,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Scioto,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Scioto,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Scioto,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Scioto,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Scioto,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Scioto,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Scioto,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Scioto,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Scioto,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Scioto,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Scioto,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Scioto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Scioto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Scioto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Scioto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Scioto,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Scioto,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Scioto,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Scioto,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Scioto,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Scioto,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Scioto,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Scioto,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Scioto,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Scioto,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Scioto,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Scioto,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Scioto,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Scioto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Scioto,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Scioto,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Scioto,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Scioto,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Scioto,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Scioto,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Scioto,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Seneca,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Seneca,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Seneca,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Seneca,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Seneca,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Seneca,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Seneca,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Seneca,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Seneca,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Seneca,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Seneca,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Seneca,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Seneca,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Seneca,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Seneca,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Seneca,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Seneca,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Seneca,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Seneca,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Seneca,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Seneca,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Seneca,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Seneca,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Seneca,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Seneca,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Seneca,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Seneca,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Seneca,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Seneca,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Seneca,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Seneca,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Seneca,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Seneca,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Seneca,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Seneca,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Seneca,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Seneca,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Seneca,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Seneca,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Seneca,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Seneca,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Seneca,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Seneca,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Seneca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Seneca,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Seneca,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Seneca,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Seneca,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Seneca,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Seneca,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Seneca,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Shelby,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Shelby,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Shelby,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Shelby,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Shelby,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Shelby,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Shelby,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Shelby,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Shelby,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Shelby,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Shelby,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Shelby,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Shelby,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Shelby,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Shelby,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Shelby,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Shelby,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Shelby,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Shelby,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Shelby,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Shelby,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Shelby,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Shelby,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,4,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,133,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,090,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Shelby,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Shelby,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Shelby,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Shelby,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Shelby,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Shelby,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Shelby,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Shelby,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Shelby,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Shelby,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Shelby,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Shelby,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Shelby,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Shelby,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Shelby,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Shelby,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Shelby,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Shelby,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Shelby,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Shelby,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Stark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Stark,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Stark,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Stark,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Stark,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Stark,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Stark,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Stark,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Stark,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Stark,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Stark,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Stark,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Stark,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Stark,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Stark,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Stark,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Stark,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Stark,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Stark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Stark,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Stark,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Stark,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Stark,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Stark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Stark,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Stark,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Stark,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Stark,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Stark,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Stark,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Stark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Stark,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Stark,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Stark,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Stark,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Stark,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Stark,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Stark,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Stark,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Stark,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Stark,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Stark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Stark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Stark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Stark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Stark,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Stark,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Stark,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Stark,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Stark,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Summit,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Summit,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Summit,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Summit,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Summit,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Summit,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Summit,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Summit,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Summit,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Summit,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Summit,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Summit,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Summit,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Summit,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Summit,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Summit,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Summit,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Summit,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Summit,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Summit,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,107,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Summit,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Summit,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Summit,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Summit,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Summit,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,022,0,,,$0.00 ,($2.60),$2.60 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Summit,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Summit,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Summit,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Summit,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Summit,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Summit,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Summit,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Summit,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Summit,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Summit,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Summit,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Summit,Humana,Local CCP,Humana Cleveland Clinic Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Summit,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Summit,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Summit,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Summit,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Summit,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Summit,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Summit,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Summit,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Summit,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Summit,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Summit,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Summit,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Summit,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Summit,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Summit,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Summit,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Summit,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Summit,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Trumbull,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,011,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Trumbull,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Trumbull,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Trumbull,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Trumbull,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Trumbull,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Trumbull,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Trumbull,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H1608,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Trumbull,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Trumbull,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Trumbull,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Trumbull,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Trumbull,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Trumbull,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Trumbull,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Trumbull,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Trumbull,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 4 (PPO),Local PPO,No,,Enhanced Alternative,H4036,017,0,,,$22.90 ,$46.10 ,$0.00 ,$46.10 ,$5.20 ,$40.00 ,1,,Yes,3.5,5.0,4.0
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Trumbull,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5322,001,0,,Yes,$0.00 ,$30.30 ,$0.00 ,$30.30 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Trumbull,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Trumbull,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Trumbull,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Trumbull,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Trumbull,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Trumbull,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Trumbull,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Trumbull,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Trumbull,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Trumbull,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Trumbull,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Trumbull,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Trumbull,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Trumbull,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Trumbull,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Trumbull,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Trumbull,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Trumbull,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Trumbull,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Trumbull,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Trumbull,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Trumbull,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Trumbull,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Trumbull,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Trumbull,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Trumbull,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Trumbull,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Tuscarawas,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Tuscarawas,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Tuscarawas,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Tuscarawas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Tuscarawas,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Tuscarawas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Tuscarawas,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Tuscarawas,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Tuscarawas,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Tuscarawas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Tuscarawas,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Tuscarawas,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Tuscarawas,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Tuscarawas,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Tuscarawas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Tuscarawas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Tuscarawas,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Tuscarawas,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Tuscarawas,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Tuscarawas,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Tuscarawas,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Tuscarawas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Tuscarawas,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Tuscarawas,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Tuscarawas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Tuscarawas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Tuscarawas,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Tuscarawas,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Tuscarawas,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Tuscarawas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Tuscarawas,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Tuscarawas,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Tuscarawas,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Union,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Union,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Union,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Union,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Union,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Union,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Union,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Union,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Union,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Union,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Union,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,008,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Union,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Union,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Union,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Union,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Union,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Union,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Union,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Union,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Union,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Union,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,1,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Union,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Union,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Union,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Union,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Union,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Union,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Union,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Union,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Union,Humana,Local CCP,Humana Gold Plus H6622-013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Union,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Union,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Union,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Union,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0014 (PPO),Local PPO,No,,Enhanced Alternative,H8768,007,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Union,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Union,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Union,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Union,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Union,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Union,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Union,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Union,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Van Wert,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Van Wert,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Van Wert,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Van Wert,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Van Wert,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Van Wert,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Van Wert,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Van Wert,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Van Wert,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Van Wert,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Van Wert,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Van Wert,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Van Wert,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Van Wert,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Van Wert,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Van Wert,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Van Wert,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Van Wert,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Van Wert,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Van Wert,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Van Wert,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Van Wert,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Van Wert,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Van Wert,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Van Wert,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Van Wert,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Van Wert,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Van Wert,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Van Wert,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Van Wert,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Van Wert,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Van Wert,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Van Wert,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Van Wert,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Van Wert,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Van Wert,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Van Wert,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Van Wert,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Van Wert,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Van Wert,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Van Wert,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Van Wert,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Van Wert,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Van Wert,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Van Wert,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Van Wert,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Van Wert,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Van Wert,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Van Wert,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Van Wert,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Van Wert,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Van Wert,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Vinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Vinton,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Vinton,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Vinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Vinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Vinton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Vinton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Vinton,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Vinton,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Vinton,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Vinton,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Vinton,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Vinton,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Vinton,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Vinton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Vinton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Vinton,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Vinton,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Vinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Vinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Vinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Vinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Vinton,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Vinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Vinton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Vinton,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Vinton,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Vinton,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Vinton,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Vinton,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Vinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Vinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Vinton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Vinton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Vinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Vinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Vinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Vinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Vinton,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Vinton,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Vinton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Vinton,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Warren,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Warren,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,014,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,015,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H0672,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0672,018,0,,Yes,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,057,0,,,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Warren,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Warren,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Warren,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Warren,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Warren,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,004,0,,,$0.00 ,$57.00 ,$0.00 ,$57.00 ,$16.10 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Warren,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Warren,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Warren,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,005,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Warren,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Warren,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Warren,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Warren,Essence Healthcare,Local CCP,Essence Advantage (HMO),HMO,No,,Enhanced Alternative,H3189,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Warren,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,2,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,023,0,,,$11.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Warren,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Warren,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Warren,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Warren,Essence Healthcare,Local CCP,Essence Advantage Choice (PPO),Local PPO,No,,Enhanced Alternative,H4620,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Warren,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Warren,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Warren,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,059,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,060,0,,Yes,$0.00 ,$25.30 ,$0.00 ,$25.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,122,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Warren,Molina Healthcare of Ohio,Demo,Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H5280,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Warren,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Warren,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Warren,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Warren,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Warren,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Warren,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Warren,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Warren,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Warren,Humana,Local CCP,Humana Gold Plus H6622-021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,021,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Warren,Humana,Local CCP,Humana Gold Plus H6622-055 (HMO),HMO,No,,Enhanced Alternative,H6622,055,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Warren,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Ohio,Warren,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Warren,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Warren,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Warren,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Warren,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Warren,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Warren,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Warren,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Warren,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Warren,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Warren,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Warren,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Warren,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Warren,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Washington,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Washington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Washington,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Washington,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Washington,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Washington,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Washington,MediGold,Local CCP,Mount Carmel MediGold Premier (HMO),HMO,No,,Enhanced Alternative,H3668,018,1,,,$88.20 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Washington,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,019,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Washington,MediGold,Local CCP,Mount Carmel MediGold Plus (HMO),HMO,No,,Enhanced Alternative,H3668,022,0,,,$13.60 ,$33.40 ,$0.00 ,$33.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Washington,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Washington,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Washington,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Washington,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Washington,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,109,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,125,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,134,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,089,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Washington,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Washington,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Washington,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Washington,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Washington,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Washington,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0015 (PPO),Local PPO,No,,Enhanced Alternative,H8768,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Washington,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Washington,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Washington,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Washington,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Washington,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Washington,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Washington,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Washington,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wayne,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Wayne,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wayne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Wayne,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Wayne,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Wayne,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wayne,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Wayne,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Wayne,UnitedHealthcare Community Plan,Demo,UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2531,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Wayne,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wayne,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wayne,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Wayne,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wayne,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wayne,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO STANDARD (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wayne,Paramount Elite Medicare Plans,Local CCP,PARAMOUNT ELITE NE OHIO PRIME (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,027,0,,,$60.00 ,$2.00 ,$0.00 ,$2.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Emerald (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,028,0,,,$103.80 ,$65.20 ,$0.00 ,$65.20 ,$24.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Topaz (HMO),HMO,No,,Enhanced Alternative,H3660,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Garnet (HMO),HMO,No,,Enhanced Alternative,H3660,053,1,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,1,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,017,0,,,$35.70 ,$53.30 ,$0.00 ,$53.30 ,$12.40 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Wayne,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Classic (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,020,0,,,$18.30 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Wayne,PrimeTime Health Plan,Local CCP,PrimeTime Health Plan Aultimate (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3664,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Wayne,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Wayne,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,1,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$3.10 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,1,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,1,,,$84.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5216-106 (PPO),Local PPO,No,,Enhanced Alternative,H5216,106,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wayne,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,1,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,1,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Wayne,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Wayne,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Wayne,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wayne,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,014,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wayne,Humana,Local CCP,Humana Gold Plus H6622-014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wayne,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Wayne,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,1,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,1,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,1,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Wayne,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Wayne,CareSource MyCare Ohio,Demo,CareSource MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8452,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Wayne,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Wayne,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8768,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Wayne,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Wayne,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wayne,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Williams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Williams,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Williams,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Williams,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Williams,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Williams,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Williams,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Williams,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Williams,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Williams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Williams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Williams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Williams,Communicare Advantage,Local CCP,CommuniCare Advantage ISNP (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3727,002,3,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Williams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,2,,,$44.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,2,,,$102.50 ,$40.10 ,$0.40 ,$40.50 ,$0.40 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,2,,,$150.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Williams,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Williams,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Williams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Williams,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Williams,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Williams,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Williams,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Williams,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Williams,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Williams,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Williams,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Williams,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Williams,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Williams,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Williams,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Williams,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,2,,,$35.90 ,$57.10 ,$0.00 ,$57.10 ,$16.20 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,2,,,$102.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Williams,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Williams,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Williams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Williams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Williams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Williams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Williams,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Williams,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Williams,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Williams,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Williams,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Wood,Buckeye Health Plan - MyCare Ohio,Demo,Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H0022,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H0628,018,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wood,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,027,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Ohio,Wood,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wood,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Wood,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Wood,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Wood,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wood,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Wood,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Wood,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Wood,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wood,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wood,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Wood,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wood,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wood,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wood,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wood,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (HMO),HMO,No,,Enhanced Alternative,H3655,034,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3655,042,0,,,$2.90 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wood,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Sapphire (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3660,029,0,,,$14.20 ,$64.80 ,$0.00 ,$64.80 ,$23.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wood,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Ruby (HMO),HMO,No,,Enhanced Alternative,H3660,044,0,,,$2.20 ,$47.80 ,$0.00 ,$47.80 ,$6.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wood,SummaCare Medicare Advantage Plans,Local CCP,SummaCare Medicare Jade with Bene-FlexTM (HMO),HMO,No,,Enhanced Alternative,H3660,056,2,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Ohio,Wood,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Wood,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,025,0,,,$12.50 ,$36.50 ,$0.00 ,$36.50 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,5.0,4.0
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Wood,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wood,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,051,0,,,$56.40 ,$47.60 ,$0.00 ,$47.60 ,$6.70 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wood,Wellcare,Local CCP,Wellcare No Premium Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5475,011,0,,,$0.00 ,($5.30),$5.30 ,$0.00 ,$0.00 ,$0.00 ,,,,2.5,3.5,3.0
Ohio,Wood,Wellcare,Local CCP,Wellcare Dual Access Extra (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5475,021,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,2.5,3.5,3.0
Ohio,Wood,Wellcare,Local CCP,Wellcare Dividend Giveback (HMO),HMO,No,,Enhanced Alternative,H5475,032,0,,,$0.00 ,($12.80),$12.80 ,$0.00 ,$0.00 ,$330.00 ,1,,,2.5,3.5,3.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Premier 2 (PPO),Local PPO,No,,Enhanced Alternative,H5521,020,0,,,$60.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare Premier 1 (PPO),Local PPO,No,,Enhanced Alternative,H5521,134,0,,,$87.60 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Wood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Wood,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Wood,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Wood,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Wood,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wood,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wood,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wood,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Wood,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Wood,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wood,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wood,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Wood,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Wood,"Aetna Better Health of Ohio, MyCare Ohio",Demo,"Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)",Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7172,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Ohio,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Wood,Perennial Advantage,Local CCP,Perennial Advantage Strive (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H8797,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Wood,Perennial Advantage,Local CCP,Perennial Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8797,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Wood,Perennial Advantage,Local CCP,Perennial Advantage Premier (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H8797,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Ohio,Wood,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Wood,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Wood,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Wood,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Wood,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wood,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Wood,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wood,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Wyandot,UnitedHealthcare,Local CCP,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,055,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Ohio,Wyandot,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0628,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Ohio,Wyandot,Aetna Medicare,Local CCP,Aetna Medicare Assure 1 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0628,013,0,,Yes,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wyandot,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,001,0,,Yes,$0.00 ,$37.80 ,$0.00 ,$37.80 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wyandot,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0908,003,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$75.00 ,1,,Yes,3.0,2.0,2.5
Ohio,Wyandot,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0908,004,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$535.00 ,1,,,3.0,2.0,2.5
Ohio,Wyandot,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0908,005,0,,,$0.00 ,($15.20),$15.20 ,$0.00 ,$0.00 ,$275.00 ,1,,,3.0,2.0,2.5
Ohio,Wyandot,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0908,006,0,,Yes,$0.00 ,$17.20 ,$0.00 ,$17.20 ,$0.00 ,$545.00 ,,,,3.0,2.0,2.5
Ohio,Wyandot,Valor Health Plan,Local CCP,Valor Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1119,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Ohio,Wyandot,MediGold,Local CCP,Mount Carmel MediGold No Premium Choice (PPO),Local PPO,No,,Enhanced Alternative,H1846,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Ohio,Wyandot,Devoted Health,Local CCP,Devoted CHOICE Ohio (PPO),Local PPO,No,,Enhanced Alternative,H2526,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Ohio,Wyandot,Devoted Health,Local CCP,Devoted CORE Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wyandot,Devoted Health,Local CCP,Devoted PRIME Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,002,0,,,$0.00 ,$14.00 ,$0.00 ,$14.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Ohio,Wyandot,Devoted Health,Local CCP,Devoted GIVEBACK Ohio (HMO),HMO,No,,Enhanced Alternative,H2697,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,5.0,4.5,5.0
Ohio,Wyandot,Devoted Health,Local CCP,Devoted DUAL PLUS Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,010,0,,Yes,$0.00 ,$28.70 ,$0.00 ,$28.70 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wyandot,Devoted Health,Local CCP,Devoted DUAL Ohio (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2697,011,0,,Yes,$0.00 ,$30.20 ,$0.00 ,$30.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Ohio,Wyandot,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,004,0,,,$59.60 ,$8.40 ,$0.00 ,$8.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wyandot,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wyandot,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3653,022,0,,,$23.10 ,$4.90 ,$0.00 ,$4.90 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,033,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3655,041,0,,,$0.00 ,$19.20 ,$0.00 ,$19.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3655,045,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3655,048,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Ohio,Wyandot,MediGold,Local CCP,Mount Carmel MediGold No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Ohio,Wyandot,MediGold,Local CCP,Mount Carmel MediGold Cash Back No Premium (HMO),HMO,No,,Enhanced Alternative,H3668,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,5.0,5.0,5.0
Ohio,Wyandot,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Ohio,Wyandot,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H4497,001,3,,,$0.20 ,$48.80 ,$0.00 ,$48.80 ,$7.90 ,$95.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H4497,002,3,,,$32.90 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Premium (PPO),Local PPO,No,,Enhanced Alternative,H4497,003,3,,,$86.30 ,$42.70 ,$0.00 ,$42.70 ,$1.80 ,$55.00 ,1,,Yes,4.0,3.5,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Access (PPO),Local PPO,No,,Enhanced Alternative,H4497,005,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.5
Ohio,Wyandot,Humana,Local CCP,HumanaChoice H5216-024 (PPO),Local PPO,No,,Enhanced Alternative,H5216,024,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.10 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Humana,Local CCP,HumanaChoice H5216-285 (PPO),Local PPO,No,,Enhanced Alternative,H5216,285,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,307,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Humana,Local CCP,HumanaChoice H5216-309 (PPO),Local PPO,No,,Enhanced Alternative,H5216,309,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,401,0,,Yes,$0.00 ,$18.40 ,$0.00 ,$18.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wyandot,Paramount Elite Medicare Plans,Local CCP,Paramount Elite Preferred (PPO),Local PPO,No,,Enhanced Alternative,H5232,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,124,2,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,126,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,130,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,144,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Ohio,Wyandot,UnitedHealthcare,Local CCP,UHC Dual Complete OH-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,028,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wyandot,UnitedHealthcare,Local CCP,UHC Dual Complete OH-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,034,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wyandot,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,088,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Ohio,Wyandot,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,441,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Ohio,Wyandot,Humana,Local CCP,HumanaChoice H5525-030 (PPO),Local PPO,No,,Enhanced Alternative,H5525,030,0,,,$62.80 ,$52.20 ,$0.00 ,$52.20 ,$11.30 ,$100.00 ,1,,,4.0,3.5,4.0
Ohio,Wyandot,Humana,Local CCP,Humana Value Plus H5525-041 (PPO),Local PPO,No,,Enhanced Alternative,H5525,041,0,,,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$260.00 ,1,,,4.0,3.5,4.0
Ohio,Wyandot,Humana,Local CCP,HumanaChoice H5525-042 (PPO),Local PPO,No,,Enhanced Alternative,H5525,042,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$545.00 ,1,,,4.0,3.5,4.0
Ohio,Wyandot,Humana,Local CCP,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,046,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wyandot,CareSource,Local CCP,CareSource Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6396,005,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Ohio,Wyandot,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,015,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wyandot,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.0,4.0,4.0
Ohio,Wyandot,Humana,Local CCP,Humana Gold Plus H6622-019 (HMO),HMO,No,,Enhanced Alternative,H6622,019,0,,,$30.50 ,$42.50 ,$0.00 ,$42.50 ,$1.50 ,$125.00 ,1,,,4.0,4.0,4.0
Ohio,Wyandot,Humana,Local CCP,Humana Gold Plus H6622-022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H6622,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wyandot,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,087,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H6723,001,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Choice (HMO),HMO,No,,Enhanced Alternative,H6723,002,3,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Plus (HMO),HMO,No,,Enhanced Alternative,H6723,003,3,,,$65.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$55.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H6723,005,2,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$95.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Medical Mutual of Ohio,Local CCP,MedMutual Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H6723,006,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Ohio,Wyandot,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7169,001,0,,,$0.00 ,($7.90),$7.90 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,2.0,2.5
Ohio,Wyandot,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7169,003,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,2.5,2.0,2.5
Ohio,Wyandot,Humana,PFFS,Humana Gold Choice H8145-032 (PFFS),PFFS,No,,Enhanced Alternative,H8145,032,0,,,$13.90 ,$49.10 ,$0.00 ,$49.10 ,$7.60 ,$0.00 ,,,Yes,3.5,4.5,4.0
Ohio,Wyandot,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,010,0,,,$82.50 ,$10.90 ,$0.00 ,$10.90 ,$0.00 ,$100.00 ,1,,,4.5,3.5,4.0
Ohio,Wyandot,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
Ohio,Wyandot,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OH-0016 (PPO),Local PPO,No,,Enhanced Alternative,H8768,038,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Ohio,Wyandot,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,001,0,,Yes,$0.00 ,$20.50 ,$0.00 ,$20.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Wyandot,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H9955,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.0
Ohio,Wyandot,Molina Healthcare of Ohio,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9955,003,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Ohio,Wyandot,Molina Healthcare of Ohio,Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H9955,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,,,,3.5,3.0,3.0
Ohio,Wyandot,Humana,Regional CCP,HumanaChoice R5495-002 (Regional PPO),Regional PPO,No,,Defined Standard Benefit,R5495,002,0,,,$3.00 ,$48.00 ,$0.00 ,$48.00 ,$7.10 ,$545.00 ,,,,4.0,3.5,4.0
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Regional CCP,Anthem Medicare Advantage (Regional PPO),Regional PPO,No,,Enhanced Alternative,R5941,014,0,,,$27.50 ,$45.50 ,$0.00 ,$45.50 ,$4.60 ,$50.00 ,1,,Yes,3.5,4.0,3.5
Ohio,Wyandot,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 1 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,003,0,,,$173.60 ,$34.40 ,$0.00 ,$34.40 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Ohio,Wyandot,Aetna Medicare,Regional CCP,Aetna Medicare Premier Plus 2 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6694,005,0,,,$121.50 ,$27.50 ,$0.00 ,$27.50 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Oklahoma,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,014,0,Yes,Yes,,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Oklahoma,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,156,0,Yes,,,($11.80),$18.10 ,$6.30 ,$6.30 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Oklahoma,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,226,0,Yes,,,$37.90 ,$50.80 ,$88.70 ,$50.80 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Oklahoma,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,046,0,Yes,,,$56.90 ,$0.00 ,$56.90 ,$14.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,109,0,Yes,,,$61.30 ,$41.90 ,$103.20 ,$61.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,198,0,Yes,,,$7.60 ,$2.30 ,$9.90 ,$2.30 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,113,0,Yes,,,$51.40 ,$0.00 ,$51.40 ,$9.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,268,0,Yes,,,$59.60 ,$14.60 ,$74.20 ,$32.00 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,373,0,Yes,,,$6.70 ,$14.80 ,$21.50 ,$14.80 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,010,0,,,,$73.20 ,$19.90 ,$93.10 ,$50.90 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Basic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5715,015,0,,Yes,,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Choice (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,018,0,,,,$17.10 ,$7.70 ,$24.80 ,$7.70 ,$545.00 ,1,,,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,022,0,Yes,,,$71.60 ,$30.90 ,$102.50 ,$60.30 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,144,0,Yes,Yes,,$40.30 ,$0.00 ,$40.30 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,169,0,Yes,,,$76.10 ,$23.00 ,$99.10 ,$56.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,202,0,Yes,,,$35.20 ,$5.40 ,$40.60 ,$5.40 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Oklahoma,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,368,0,Yes,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,404,0,Yes,,,$27.90 ,$8.10 ,$36.00 ,$8.10 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oklahoma,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,022,0,,,,$93.20 ,$0.00 ,$93.20 ,$51.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Oklahoma,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,092,0,,,,$68.40 ,$10.90 ,$79.30 ,$37.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Oklahoma,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,125,0,,,,$4.30 ,$18.60 ,$22.90 ,$18.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Oklahoma,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Adair,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Adair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Adair,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Adair,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Adair,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Adair,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Adair,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Adair,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Adair,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Adair,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Adair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Adair,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Adair,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Alfalfa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Alfalfa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Alfalfa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Alfalfa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Alfalfa,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Alfalfa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Alfalfa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Atoka,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Atoka,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Atoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Atoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Atoka,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Atoka,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Atoka,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Atoka,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Atoka,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Atoka,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Atoka,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Oklahoma,Atoka,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Atoka,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Atoka,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Beaver,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Beckham,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Beckham,Humana,PFFS,Humana Gold Choice H2944-013 (PFFS),PFFS,No,,Enhanced Alternative,H2944,013,0,,,$3.10 ,$49.90 ,$0.00 ,$49.90 ,$6.80 ,$250.00 ,1,,,3.5,3.5,3.5
Oklahoma,Beckham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Beckham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Beckham,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Beckham,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Beckham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Beckham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Beckham,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Blaine,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Blaine,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Blaine,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Blaine,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Blaine,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Blaine,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Blaine,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Blaine,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Blaine,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Blaine,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Blaine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Blaine,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Bryan,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Bryan,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Bryan,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Bryan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Bryan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Bryan,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Bryan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Bryan,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Caddo,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Caddo,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Caddo,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Caddo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Caddo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Caddo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Caddo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Caddo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Caddo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Caddo,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Caddo,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Caddo,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Caddo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Caddo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Caddo,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Caddo,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Canadian,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Canadian,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Canadian,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H2663,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Canadian,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Canadian,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Canadian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Canadian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Canadian,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Canadian,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Canadian,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Canadian,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Canadian,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Canadian,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Canadian,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Canadian,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Canadian,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,Canadian,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Canadian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Canadian,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Canadian,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Canadian,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Carter,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Carter,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Carter,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Carter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Carter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Carter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Carter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Carter,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Carter,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Carter,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cherokee,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cherokee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cherokee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Cherokee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cherokee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Choctaw,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Choctaw,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Choctaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Choctaw,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Choctaw,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Oklahoma,Choctaw,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Choctaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Choctaw,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cimarron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cimarron,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Cleveland,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cleveland,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cleveland,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cleveland,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Cleveland,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Cleveland,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Cleveland,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cleveland,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Cleveland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Cleveland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,Cleveland,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cleveland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Cleveland,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Cleveland,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Coal,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Coal,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Coal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Coal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Coal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Coal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Coal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Coal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Coal,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Coal,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Coal,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Coal,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Coal,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Coal,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Coal,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Coal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Coal,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Comanche,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Comanche,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Comanche,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Comanche,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Comanche,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Comanche,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Comanche,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Comanche,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Comanche,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Comanche,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Comanche,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Cotton,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Cotton,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Cotton,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Cotton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cotton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Cotton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Cotton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cotton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cotton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Cotton,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cotton,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Cotton,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Cotton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cotton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Cotton,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Craig,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Craig,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Craig,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Craig,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Craig,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Craig,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Craig,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Craig,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Craig,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Craig,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Craig,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Craig,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Creek,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Creek,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,019,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Creek,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Creek,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Creek,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Creek,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Creek,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Creek,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Creek,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Creek,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Creek,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Creek,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Creek,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Creek,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Creek,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Creek,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Creek,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Custer,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Custer,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Custer,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Delaware,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Delaware,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Delaware,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Delaware,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Delaware,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Delaware,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Delaware,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Dewey,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Dewey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Dewey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Dewey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Dewey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Dewey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Dewey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Dewey,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Dewey,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Dewey,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Dewey,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Dewey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Dewey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Dewey,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Ellis,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Ellis,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Ellis,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Garfield,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garfield,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Garfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Garfield,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garfield,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Garfield,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garfield,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Garvin,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Garvin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garvin,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garvin,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Garvin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Garvin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Garvin,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Garvin,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Garvin,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Garvin,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Garvin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Garvin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Garvin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Garvin,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Grady,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Grady,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Grady,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Grady,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grady,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Grady,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Grady,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Grady,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Grady,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Grady,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Grady,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Grady,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Grant,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Grant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Grant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Grant,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Grant,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Greer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Greer,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Greer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Greer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Greer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Greer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Greer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Greer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Greer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Greer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Greer,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Greer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Greer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Greer,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Harmon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Harmon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Harmon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Harmon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Harmon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Harmon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Harmon,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Harper,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Haskell,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Haskell,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Haskell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Haskell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Haskell,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Haskell,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Haskell,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Haskell,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Haskell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Haskell,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Hughes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Hughes,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Hughes,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Hughes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Hughes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Hughes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Hughes,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Hughes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Hughes,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Hughes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Hughes,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Jackson,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Jackson,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Jackson,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Jackson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Jefferson,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Jefferson,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Jefferson,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Johnston,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Johnston,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Johnston,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Johnston,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Johnston,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Johnston,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Johnston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Johnston,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Kay,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Kay,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Kay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kay,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kay,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kay,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kay,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kay,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kay,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Kay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Kay,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Kay,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Kingfisher,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Kingfisher,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kingfisher,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Kingfisher,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Kingfisher,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kingfisher,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kingfisher,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Kingfisher,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Kingfisher,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Kingfisher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Kingfisher,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Kiowa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Kiowa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kiowa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kiowa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Kiowa,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Kiowa,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Kiowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Kiowa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Latimer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Latimer,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Latimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Latimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Latimer,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Latimer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Latimer,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Latimer,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Latimer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Latimer,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Le Flore,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Le Flore,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Le Flore,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Oklahoma,Le Flore,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Le Flore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Le Flore,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Le Flore,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,017,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Oklahoma,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Lincoln,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Lincoln,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Lincoln,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Lincoln,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Lincoln,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Lincoln,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Lincoln,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Lincoln,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Lincoln,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,Lincoln,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Lincoln,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Lincoln,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Logan,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H2663,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Logan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,017,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Logan,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Logan,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Logan,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Logan,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Logan,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Logan,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Logan,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Logan,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Logan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Logan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,Logan,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Logan,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Logan,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Love,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Love,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Love,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Love,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Love,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Love,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Love,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Love,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Love,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Love,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Love,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Love,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Major,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Major,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Major,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Major,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Major,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Major,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Major,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Major,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Major,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Major,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Major,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Major,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Major,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Major,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Marshall,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Marshall,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Marshall,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Marshall,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Mayes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Mayes,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Mayes,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Mayes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Mayes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Mayes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Mayes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Mayes,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Mayes,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Mayes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Mayes,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Mayes,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Mayes,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Mayes,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Mayes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Mayes,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Mayes,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,McClain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,McClain,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McClain,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McClain,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,McClain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McClain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McClain,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,McClain,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McClain,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McClain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McClain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McClain,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,McClain,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,McClain,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,McClain,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,McClain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,McClain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,McClain,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McClain,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McCurtain,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McCurtain,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McCurtain,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McCurtain,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McCurtain,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Oklahoma,McCurtain,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,McCurtain,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,McCurtain,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,McIntosh,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McIntosh,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,McIntosh,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,McIntosh,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,McIntosh,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,McIntosh,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,McIntosh,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,McIntosh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,McIntosh,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,McIntosh,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Murray,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Murray,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Murray,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Murray,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Murray,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Murray,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Murray,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Murray,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Murray,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Murray,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Murray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Murray,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Muskogee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Muskogee,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Muskogee,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Muskogee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Muskogee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Muskogee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Muskogee,CommunityCare Options (PPO),Local CCP,Options Gold (PPO),Local PPO,No,,Enhanced Alternative,H4277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Muskogee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Muskogee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Muskogee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Muskogee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Muskogee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Muskogee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Muskogee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Muskogee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Noble,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Noble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Noble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Noble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Noble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Noble,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Noble,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Noble,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Noble,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Noble,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Noble,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Nowata,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Nowata,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Nowata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Nowata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Nowata,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Nowata,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Nowata,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Nowata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Nowata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Nowata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Nowata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Nowata,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Nowata,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Nowata,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Nowata,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Nowata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Nowata,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Okfuskee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okfuskee,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okfuskee,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okfuskee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Okfuskee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Okfuskee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Okfuskee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oklahoma,Oklahoma,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H2663,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,017,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Oklahoma,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Oklahoma,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Oklahoma,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Oklahoma,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Oklahoma,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Oklahoma,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,073,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Oklahoma,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Oklahoma,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Oklahoma,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oklahoma,Oklahoma,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Oklahoma,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Oklahoma,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Oklahoma,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Okmulgee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,019,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Okmulgee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okmulgee,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okmulgee,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Okmulgee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Okmulgee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Okmulgee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Okmulgee,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Okmulgee,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Okmulgee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Okmulgee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Okmulgee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Okmulgee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Okmulgee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Osage,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Osage,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Osage,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Osage,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Osage,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Osage,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Osage,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Osage,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Osage,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Osage,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Osage,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Osage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Osage,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Osage,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Ottawa,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Ottawa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Ottawa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Ottawa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Ottawa,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Ottawa,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Ottawa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Ottawa,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Ottawa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Pawnee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pawnee,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pawnee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pawnee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pawnee,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pawnee,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pawnee,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Pawnee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pawnee,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Payne,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Payne,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Payne,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Payne,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Payne,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Payne,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Payne,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Payne,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Payne,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Pittsburg,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pittsburg,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pittsburg,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pittsburg,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pittsburg,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Pittsburg,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pittsburg,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Pittsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Pittsburg,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pittsburg,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Pontotoc,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pontotoc,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pontotoc,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pontotoc,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pontotoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pontotoc,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Pottawatomie,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pottawatomie,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pottawatomie,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Deluxe (HMO),HMO,No,,Enhanced Alternative,H4198,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Pottawatomie,Integris Health Partners+ (HMO),Local CCP,Integris Health Partners+ Premier (HMO),HMO,No,,Enhanced Alternative,H4198,009,0,,,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pottawatomie,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pottawatomie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Pottawatomie,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pottawatomie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Pottawatomie,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Pottawatomie,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Pushmataha,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Pushmataha,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Pushmataha,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pushmataha,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pushmataha,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Pushmataha,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Pushmataha,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Pushmataha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Pushmataha,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Roger Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Roger Mills,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Rogers,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Rogers,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,019,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Rogers,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Rogers,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Rogers,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Rogers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Rogers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Rogers,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Rogers,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Rogers,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Rogers,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Rogers,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Rogers,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Rogers,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Rogers,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Rogers,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Rogers,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Rogers,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Rogers,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Rogers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Rogers,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Rogers,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Seminole,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Seminole,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Seminole,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Seminole,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,002,0,,,$0.00 ,($4.90),$4.90 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Seminole,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Seminole,Humana,Local CCP,Humana Gold Plus H6622-032 (HMO),HMO,No,,Enhanced Alternative,H6622,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Seminole,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Seminole,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Seminole,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,005,0,,,$0.00 ,($1.40),$1.40 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,2.0,2.0,2.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,007,0,,Yes,$0.00 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$515.00 ,1,,,2.0,2.0,2.0
Oklahoma,Seminole,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Seminole,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Sequoyah,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-231 (PPO),Local PPO,No,,Enhanced Alternative,H5216,231,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Sequoyah,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Sequoyah,Humana,Local CCP,Humana Gold Plus H5619-111 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Oklahoma,Sequoyah,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Sequoyah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Sequoyah,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Sequoyah,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Stephens,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Stephens,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Stephens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Stephens,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Stephens,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Stephens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Stephens,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Texas,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Texas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Texas,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Tillman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Tillman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Tillman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tillman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tillman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Tillman,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Tillman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Tillman,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,052,0,,Yes,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oklahoma,Tulsa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,019,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Tulsa,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Tulsa,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Tulsa,American Health Advantage of Oklahoma,Local CCP,American Health Advantage of Oklahoma (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3708,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Tulsa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Tulsa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Tulsa,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Tulsa,Blue Cross and Blue Shield of Oklahoma,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H3979,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Tulsa,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Tulsa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Tulsa,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8554,003,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Oklahoma,Tulsa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Tulsa,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Tulsa,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Wagoner,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,019,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Wagoner,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Classic Rewards (HMO),HMO,No,,Enhanced Alternative,H3706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Classic Plus (HMO),HMO,No,,Enhanced Alternative,H3706,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,024,0,,,$0.00 ,($0.60),$0.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Chronic Care Savings (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3706,025,0,,,$0.00 ,($6.60),$6.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Dual Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,028,0,,Yes,$0.00 ,$22.70 ,$0.00 ,$22.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Wagoner,GlobalHealth,Local CCP,Generations Dual Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3706,029,0,,Yes,$0.00 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,017,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Wagoner,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Wagoner,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Wagoner,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,001,0,,,$0.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4537,003,0,,,$19.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,3.0,Not enough data available
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4537,004,0,,Yes,$0.00 ,$33.50 ,$0.00 ,$33.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Oklahoma,Wagoner,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,2.5,3.0
Oklahoma,Wagoner,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,013,0,,,$177.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Wagoner,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Wagoner,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice H5216-081 (PPO),Local PPO,No,,Enhanced Alternative,H5216,081,0,,,$0.00 ,$54.00 ,$0.00 ,$54.00 ,$11.80 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice H5216-083 (PPO),Local PPO,No,,Enhanced Alternative,H5216,083,0,,,$16.30 ,$52.70 ,$0.00 ,$52.70 ,$14.50 ,$195.00 ,1,,,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice H5216-264 (PPO),Local PPO,No,,Enhanced Alternative,H5216,264,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,3,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,372,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Wagoner,Humana,Local CCP,Humana Gold Plus H6622-033 (HMO),HMO,No,,Enhanced Alternative,H6622,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Wagoner,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Oklahoma,Wagoner,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Wagoner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0006 (PPO),Local PPO,No,,Enhanced Alternative,H8768,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H9900,001,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,2.0,2.0,2.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,002,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9900,004,0,,,$0.00 ,($7.00),$7.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.0,2.0,2.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H9900,006,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$490.00 ,1,,,2.0,2.0,2.0
Oklahoma,Wagoner,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9900,009,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.0,2.0,2.0
Oklahoma,Wagoner,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Washington,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum (HMO),HMO,No,,Enhanced Alternative,H3755,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Washington,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Platinum Plus (HMO),HMO,No,,Enhanced Alternative,H3755,004,0,,,$34.60 ,$30.30 ,$31.10 ,$61.40 ,$31.10 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Washington,CommunityCare Senior Health Plan (HMO),Local CCP,Senior Health Plan Silver Plus (HMO),HMO,No,,Enhanced Alternative,H3755,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.0
Oklahoma,Washington,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Washita,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Washita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Washita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Washita,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Washita,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Washita,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Washita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Washita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Washita,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Woods,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,053,0,,Yes,$0.00 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oklahoma,Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,001,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3749,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oklahoma,Woods,UnitedHealthcare,Local CCP,UHC Dual Complete OK-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,031,0,,Yes,$0.00 ,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Woods,UnitedHealthcare,Local CCP,UHC Dual Complete OK-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,033,0,,Yes,$0.00 ,$40.10 ,$0.00 ,$40.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Oklahoma,Woods,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0005 (PPO),Local PPO,No,,Enhanced Alternative,H8768,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Woods,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OK-0007 (PPO),Local PPO,No,,Enhanced Alternative,H8768,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oklahoma,Woods,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oklahoma,Woodward,Humana,Local CCP,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,228,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Woodward,Humana,Local CCP,HumanaChoice H5216-316 (PPO),Local PPO,No,,Enhanced Alternative,H5216,316,1,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Woodward,Humana,Local CCP,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,331,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oklahoma,Woodward,Humana,Local CCP,HumanaChoice H5216-337 (PPO),Local PPO,No,,Enhanced Alternative,H5216,337,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Oklahoma,Woodward,Humana,PFFS,Humana Gold Choice H8145-122 (PFFS),PFFS,No,,Enhanced Alternative,H8145,122,0,,,$74.40 ,$57.60 ,$0.00 ,$57.60 ,$17.80 ,$0.00 ,,,Yes,3.5,4.5,4.0
Oklahoma,Woodward,Humana,Regional CCP,HumanaChoice R4845-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R4845,002,0,,Yes,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$0.00 ,$545.00 ,,,,3.5,2.5,3.0
Oregon,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,020,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.20 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Oregon,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,135,0,Yes,,,($19.50),$19.50 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Oregon,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,233,0,Yes,,,$33.10 ,$45.80 ,$78.90 ,$45.80 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Oregon,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,060,0,Yes,,,$44.10 ,$0.00 ,$44.10 ,$3.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,061,0,Yes,,,$33.30 ,$56.10 ,$89.40 ,$56.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,205,0,Yes,,,$0.60 ,$2.70 ,$3.30 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Asuris Northwest Health,PDP,Asuris Medicare Script Basic (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5609,001,0,,,,$111.50 ,$0.00 ,$111.50 ,$70.90 ,$540.00 ,1,,,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),Asuris Northwest Health,PDP,Asuris Medicare Script Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5609,002,0,,,,$93.50 ,$33.50 ,$127.00 ,$86.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,148,0,Yes,Yes,,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,275,0,Yes,,,$51.60 ,$13.60 ,$65.20 ,$24.60 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,380,0,Yes,,,($2.30),$16.50 ,$14.20 ,$14.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,029,0,Yes,,,$68.70 ,$29.70 ,$98.40 ,$57.80 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,113,0,Yes,,,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,176,0,Yes,,,$81.80 ,$23.00 ,$104.80 ,$64.20 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,209,0,Yes,,,$28.90 ,$6.30 ,$35.20 ,$6.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Oregon,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,374,0,Yes,Yes,,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,411,0,Yes,,,$42.80 ,$6.00 ,$48.80 ,$8.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Oregon,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,029,0,,,,$105.50 ,$0.00 ,$105.50 ,$64.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Oregon,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,099,0,,,,$72.20 ,$10.80 ,$83.00 ,$42.40 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Oregon,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,132,0,,,,($1.70),$24.70 ,$23.00 ,$23.00 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Oregon,Baker,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Baker,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Baker,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Baker,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Baker,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Oregon,Benton,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Benton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Benton,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Benton,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Benton,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Benton,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Benton,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3811,002,0,,,$0.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Benton,Samaritan Advantage Health Plans,Local CCP,Samaritan Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3811,003,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Oregon,Benton,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3811,009,0,,,$105.80 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Oregon,Benton,"Moda Health Plan, Inc.",Local CCP,Moda Health Mid-valley PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,014,0,,,$32.70 ,$77.30 ,$0.00 ,$77.30 ,$36.70 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Benton,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Benton,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Benton,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Benton,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Benton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Benton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Benton,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Benton,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Clackamas,Humana,Local CCP,Humana Gold Plus H1036-153 (HMO),HMO,No,,Enhanced Alternative,H1036,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Clackamas,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Clackamas,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Clackamas,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Clackamas,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Clackamas,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Clackamas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Clackamas,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Clackamas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,033,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Clackamas,Devoted Health,Local CCP,Devoted CORE Oregon (HMO),HMO,No,,Enhanced Alternative,H2923,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Clackamas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Clackamas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Clackamas,"Moda Health Plan, Inc.",Local CCP,Moda Health Metro PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,013,0,,,$13.90 ,$72.10 ,$0.00 ,$72.10 ,$31.50 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Clackamas,"Moda Health Plan, Inc.",Local CCP,Moda Health + Fred Meyer PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,016,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Clackamas,"Moda Health Plan, Inc.",Local CCP,Moda Health Elements PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,3.0,3.0,3.0
Oregon,Clackamas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,1,,,$16.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Clackamas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,1,,,$124.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Clackamas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Clackamas,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Rx 40 (HMO),HMO,No,,Enhanced Alternative,H3864,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Clackamas,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Oregon,Clackamas,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Clackamas,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Clackamas,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Clackamas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Oregon,Clackamas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,1,,,$29.90 ,$11.10 ,$0.00 ,$11.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Clackamas,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Clackamas,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Clackamas,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,019,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Clackamas,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,020,0,,,$73.60 ,$51.40 ,$0.00 ,$51.40 ,$10.80 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Clackamas,Devoted Health,Local CCP,Devoted CHOICE Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Clackamas,Devoted Health,Local CCP,Devoted CHOICE PLUS Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Clackamas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Oregon,Clackamas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oregon,Clackamas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Clackamas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Clackamas,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Clackamas,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Prime + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9047,043,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Clackamas,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Clackamas,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Columbia,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Columbia,Humana,Local CCP,Humana Gold Plus H1036-153 (HMO),HMO,No,,Enhanced Alternative,H1036,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Columbia,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Columbia,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Columbia,Devoted Health,Local CCP,Devoted CORE Oregon (HMO),HMO,No,,Enhanced Alternative,H2923,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Columbia,"Moda Health Plan, Inc.",Local CCP,Moda Health + Fred Meyer PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,016,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Columbia,"Moda Health Plan, Inc.",Local CCP,Moda Health Elements PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,3.0,3.0,3.0
Oregon,Columbia,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Columbia,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Columbia,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Columbia,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Columbia,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Columbia,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Columbia,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Columbia,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Columbia,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Columbia,Devoted Health,Local CCP,Devoted CHOICE Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Columbia,Devoted Health,Local CCP,Devoted CHOICE PLUS Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Columbia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Oregon,Columbia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oregon,Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Columbia,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Columbia,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Columbia,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Columbia,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Columbia,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Coos,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Coos,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Coos,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Coos,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Coos,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Coos,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Coos,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Crook,Humana,Local CCP,Humana Gold Plus H1036-219 (HMO),HMO,No,,Enhanced Alternative,H1036,219,0,,,$88.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Crook,Humana,Local CCP,Humana Gold Plus H2486-009 (HMO),HMO,No,,Enhanced Alternative,H2486,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Crook,Humana,Local CCP,Humana Gold Plus H2486-010 (HMO),HMO,No,,Enhanced Alternative,H2486,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Crook,"Moda Health Plan, Inc.",Local CCP,Moda Health Central PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,010,0,,,$32.00 ,$58.00 ,$0.00 ,$58.00 ,$17.40 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Crook,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Crook,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Crook,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Crook,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Crook,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Crook,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Crook,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Crook,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Crook,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Crook,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Crook,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Crook,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Crook,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Crook,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Crook,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Crook,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Curry,AllCare Advantage,Local CCP,AllCare Advantage Redwood Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3810,023,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Curry,AllCare Advantage,Local CCP,AllCare Advantage Madrone Rx (HMO),HMO,No,,Defined Standard Benefit,H3810,024,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Curry,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Curry,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Curry,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Curry,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Curry,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Deschutes,Humana,Local CCP,Humana Gold Plus H1036-219 (HMO),HMO,No,,Enhanced Alternative,H1036,219,0,,,$88.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Deschutes,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Deschutes,Humana,Local CCP,Humana Gold Plus H2486-009 (HMO),HMO,No,,Enhanced Alternative,H2486,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Deschutes,Humana,Local CCP,Humana Gold Plus H2486-010 (HMO),HMO,No,,Enhanced Alternative,H2486,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Deschutes,"Moda Health Plan, Inc.",Local CCP,Moda Health Central PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,010,0,,,$32.00 ,$58.00 ,$0.00 ,$58.00 ,$17.40 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Deschutes,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Deschutes,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,1,,,$16.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Deschutes,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Deschutes,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Deschutes,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Deschutes,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Deschutes,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Deschutes,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Deschutes,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Deschutes,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Deschutes,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,3,,,$17.80 ,$8.20 ,$0.00 ,$8.20 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Oregon,Deschutes,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,3,,,$72.90 ,$8.10 ,$0.00 ,$8.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Oregon,Deschutes,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Deschutes,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Deschutes,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Deschutes,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Deschutes,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Deschutes,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Deschutes,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Douglas,AllCare Advantage,Local CCP,AllCare Advantage Gold Rx (HMO),HMO,No,,Enhanced Alternative,H3810,003,0,,,$55.80 ,$25.80 ,$49.80 ,$75.60 ,$49.80 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Douglas,AllCare Advantage,Local CCP,AllCare Advantage Focus Rx (HMO),HMO,No,,Enhanced Alternative,H3810,022,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Douglas,AllCare Advantage,Local CCP,AllCare Advantage Redwood Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3810,023,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Douglas,AllCare Advantage,Local CCP,AllCare Advantage Madrone Rx (HMO),HMO,No,,Defined Standard Benefit,H3810,024,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Douglas,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Douglas,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Douglas,ATRIO Health Plans,Local CCP,ATRIO Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3814,030,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.0
Oregon,Douglas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Douglas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Douglas,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Douglas,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,3.0,3.0,3.0
Oregon,Douglas,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,023,1,,,$34.70 ,$49.30 ,$0.00 ,$49.30 ,$8.70 ,$0.00 ,,,,3.0,3.0,3.0
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Douglas,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Gilliam,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Gilliam,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Gilliam,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Gilliam,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Gilliam,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Oregon,Grant,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Grant,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Grant,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Grant,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Grant,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Grant,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Grant,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Harney,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Harney,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Harney,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Hood River,"Moda Health Plan, Inc.",Local CCP,Moda Health Central PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,010,0,,,$32.00 ,$58.00 ,$0.00 ,$58.00 ,$17.40 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Hood River,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Hood River,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Hood River,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Hood River,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Hood River,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Hood River,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Hood River,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Hood River,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Hood River,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Hood River,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Hood River,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Hood River,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Jackson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Jackson,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Jackson,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Jackson,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Jackson,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Jackson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Jackson,AllCare Advantage,Local CCP,AllCare Advantage Gold Rx (HMO),HMO,No,,Enhanced Alternative,H3810,003,0,,,$55.80 ,$25.80 ,$49.80 ,$75.60 ,$49.80 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jackson,AllCare Advantage,Local CCP,AllCare Advantage Focus Rx (HMO),HMO,No,,Enhanced Alternative,H3810,022,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jackson,AllCare Advantage,Local CCP,AllCare Advantage Redwood Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3810,023,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Jackson,AllCare Advantage,Local CCP,AllCare Advantage Madrone Rx (HMO),HMO,No,,Defined Standard Benefit,H3810,024,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Jackson,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Jackson,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Jackson,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Jackson,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Jackson,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Jackson,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Jackson,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Jackson,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,026,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Jackson,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,004,0,,,$31.20 ,$10.80 ,$0.00 ,$10.80 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Jefferson,Humana,Local CCP,Humana Gold Plus H1036-219 (HMO),HMO,No,,Enhanced Alternative,H1036,219,0,,,$88.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Jefferson,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Jefferson,Humana,Local CCP,Humana Gold Plus H2486-009 (HMO),HMO,No,,Enhanced Alternative,H2486,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jefferson,Humana,Local CCP,Humana Gold Plus H2486-010 (HMO),HMO,No,,Enhanced Alternative,H2486,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jefferson,"Moda Health Plan, Inc.",Local CCP,Moda Health Central PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,010,0,,,$32.00 ,$58.00 ,$0.00 ,$58.00 ,$17.40 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Jefferson,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Jefferson,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jefferson,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jefferson,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jefferson,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jefferson,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Jefferson,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Jefferson,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Jefferson,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Jefferson,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Jefferson,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Jefferson,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Jefferson,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jefferson,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jefferson,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Jefferson,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Josephine,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Josephine,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Josephine,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Josephine,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Josephine,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Josephine,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Josephine,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Josephine,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Josephine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Josephine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Josephine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Josephine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Josephine,AllCare Advantage,Local CCP,AllCare Advantage Gold Rx (HMO),HMO,No,,Enhanced Alternative,H3810,003,0,,,$55.80 ,$25.80 ,$49.80 ,$75.60 ,$49.80 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Josephine,AllCare Advantage,Local CCP,AllCare Advantage Focus Rx (HMO),HMO,No,,Enhanced Alternative,H3810,022,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Josephine,AllCare Advantage,Local CCP,AllCare Advantage Redwood Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3810,023,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Josephine,AllCare Advantage,Local CCP,AllCare Advantage Madrone Rx (HMO),HMO,No,,Defined Standard Benefit,H3810,024,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Josephine,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Josephine,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Josephine,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Josephine,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Josephine,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Josephine,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Josephine,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,026,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Josephine,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Josephine,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,004,0,,,$31.20 ,$10.80 ,$0.00 ,$10.80 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Klamath,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Klamath,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Klamath,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Klamath,"Moda Health Plan, Inc.",Local CCP,Moda Health Southern PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,012,0,,,$20.20 ,$67.80 ,$0.00 ,$67.80 ,$27.20 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Klamath,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Klamath,ATRIO Health Plans,Local CCP,ATRIO Special Needs Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3814,007,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.0
Oregon,Klamath,ATRIO Health Plans,Local CCP,ATRIO Select Rx (HMO),HMO,No,,Enhanced Alternative,H3814,031,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$350.00 ,1,,,3.5,3.5,3.0
Oregon,Klamath,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Klamath,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Klamath,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Klamath,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Klamath,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Klamath,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,001,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Oregon,Klamath,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H6743,023,3,,,$54.70 ,$49.30 ,$0.00 ,$49.30 ,$8.70 ,$0.00 ,,,,3.0,3.0,3.0
Oregon,Lake,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Lake,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Lake,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Lane,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Lane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Lane,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Lane,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Lane,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Lane,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Lane,Wellcare by Trillium,Local CCP,Wellcare Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2174,001,0,,Yes,$0.00 ,$37.60 ,$0.00 ,$37.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Oregon,Lane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,033,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Lane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Lane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Lane,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E002 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H3113,008,0,,,$0.00 ,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Lane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Lane,"Moda Health Plan, Inc.",Local CCP,Moda Health Mid-valley PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,014,0,,,$32.70 ,$77.30 ,$0.00 ,$77.30 ,$36.70 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Lane,"Moda Health Plan, Inc.",Local CCP,Moda + PeaceHealth PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Lane,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,1,,,$16.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Lane,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,1,,,$124.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Lane,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Lane,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Lane,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 41 (HMO),HMO,No,,Enhanced Alternative,H3864,041,0,,,$55.30 ,$14.70 ,$0.00 ,$14.70 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lane,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Lane,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 4 (PPO),Local PPO,No,,Enhanced Alternative,H4754,004,0,,,$47.50 ,$61.50 ,$0.00 ,$61.50 ,$20.90 ,$0.00 ,,,Yes,3.5,4.0,3.5
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Lane,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Oregon,Lane,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,1,,,$29.90 ,$11.10 ,$0.00 ,$11.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Lane,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Lane,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Lane,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,019,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Lane,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,020,0,,,$73.60 ,$51.40 ,$0.00 ,$51.40 ,$10.80 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Lane,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value Lane (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,4.0,3.5
Oregon,Lane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Lincoln,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3811,002,0,,,$0.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Lincoln,Samaritan Advantage Health Plans,Local CCP,Samaritan Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3811,003,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Oregon,Lincoln,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3811,009,0,,,$105.80 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Oregon,Linn,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Linn,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Linn,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Linn,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Linn,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Linn,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Linn,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Linn,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Linn,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Linn,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Linn,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,033,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Linn,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Oregon,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Linn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,2,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Linn,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan (HMO),HMO,No,,Enhanced Alternative,H3811,002,0,,,$0.50 ,$18.50 ,$0.00 ,$18.50 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Linn,Samaritan Advantage Health Plans,Local CCP,Samaritan Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3811,003,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Oregon,Linn,Samaritan Advantage Health Plans,Local CCP,Samaritan Advantage Premier Plan Plus (HMO),HMO,No,,Enhanced Alternative,H3811,009,0,,,$105.80 ,$28.20 ,$0.00 ,$28.20 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Oregon,Linn,"Moda Health Plan, Inc.",Local CCP,Moda Health Mid-valley PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,014,0,,,$32.70 ,$77.30 ,$0.00 ,$77.30 ,$36.70 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Linn,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Linn,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Linn,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Linn,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Linn,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Linn,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Linn,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Linn,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Linn,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Linn,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Malheur,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Malheur,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Malheur,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Malheur,Humana,Local CCP,HumanaChoice H5216-044 (PPO),Local PPO,No,,Enhanced Alternative,H5216,044,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Malheur,Humana,Local CCP,HumanaChoice H5216-132 (PPO),Local PPO,No,,Enhanced Alternative,H5216,132,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Malheur,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Marion,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Marion,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Marion,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Marion,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Marion,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Marion,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Marion,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Marion,"Moda Health Plan, Inc.",Local CCP,Moda Health Mid-valley PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,014,0,,,$32.70 ,$77.30 ,$0.00 ,$77.30 ,$36.70 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Marion,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Marion,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Marion,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Marion,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Marion,ATRIO Health Plans,Local CCP,ATRIO Special Needs Plan (Willamette) (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5995,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.0
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Marion,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Marion,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,003,0,,,$31.10 ,$52.90 ,$0.00 ,$52.90 ,$12.30 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Marion,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Marion,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Marion,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Marion,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Marion,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Marion,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Marion,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Marion,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Marion,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Morrow,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Morrow,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Morrow,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Morrow,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Morrow,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Multnomah,Humana,Local CCP,Humana Gold Plus H1036-153 (HMO),HMO,No,,Enhanced Alternative,H1036,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Multnomah,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Multnomah,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Multnomah,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Multnomah,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Multnomah,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Multnomah,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Multnomah,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Multnomah,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,033,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Multnomah,Devoted Health,Local CCP,Devoted CORE Oregon (HMO),HMO,No,,Enhanced Alternative,H2923,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Multnomah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Multnomah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Multnomah,"Moda Health Plan, Inc.",Local CCP,Moda Health Metro PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,013,0,,,$13.90 ,$72.10 ,$0.00 ,$72.10 ,$31.50 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Multnomah,"Moda Health Plan, Inc.",Local CCP,Moda Health + Fred Meyer PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,016,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Multnomah,"Moda Health Plan, Inc.",Local CCP,Moda Health Elements PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,3.0,3.0,3.0
Oregon,Multnomah,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,1,,,$16.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Multnomah,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,1,,,$124.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Multnomah,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Multnomah,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Rx 40 (HMO),HMO,No,,Enhanced Alternative,H3864,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Multnomah,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Oregon,Multnomah,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Multnomah,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Multnomah,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Multnomah,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Oregon,Multnomah,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,1,,,$29.90 ,$11.10 ,$0.00 ,$11.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Multnomah,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Multnomah,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Multnomah,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,019,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Multnomah,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,020,0,,,$73.60 ,$51.40 ,$0.00 ,$51.40 ,$10.80 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Multnomah,Devoted Health,Local CCP,Devoted CHOICE Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Multnomah,Devoted Health,Local CCP,Devoted CHOICE PLUS Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Multnomah,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Oregon,Multnomah,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oregon,Multnomah,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Multnomah,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Multnomah,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Multnomah,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Prime + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9047,043,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Multnomah,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Multnomah,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Polk,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Polk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Polk,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Polk,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Polk,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Polk,"Moda Health Plan, Inc.",Local CCP,Moda Health Mid-valley PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,014,0,,,$32.70 ,$77.30 ,$0.00 ,$77.30 ,$36.70 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Polk,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Polk,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Polk,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Polk,ATRIO Health Plans,Local CCP,ATRIO Special Needs Plan (Willamette) (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5995,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.0
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Polk,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Polk,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,003,0,,,$31.10 ,$52.90 ,$0.00 ,$52.90 ,$12.30 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Polk,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Polk,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Polk,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Polk,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Polk,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Polk,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Polk,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Polk,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Polk,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Sherman,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Sherman,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Sherman,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Sherman,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Sherman,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Sherman,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Sherman,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Sherman,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Sherman,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Oregon,Tillamook,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Umatilla,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Umatilla,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Umatilla,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Union,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Union,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Union,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Wallowa,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Wallowa,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Wallowa,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Wallowa,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Wallowa,Humana,Local CCP,HumanaChoice H5525-054 (PPO),Local PPO,No,,Enhanced Alternative,H5525,054,0,,,$28.70 ,$57.30 ,$0.00 ,$57.30 ,$15.50 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Oregon,Wasco,"Moda Health Plan, Inc.",Local CCP,Moda Health Central PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,010,0,,,$32.00 ,$58.00 ,$0.00 ,$58.00 ,$17.40 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Wasco,"Moda Health Plan, Inc.",Local CCP,Moda Health Value PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,017,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$4.40 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Wasco,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wasco,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wasco,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Wasco,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Wasco,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Washington,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Washington,Humana,Local CCP,Humana Gold Plus H1036-153 (HMO),HMO,No,,Enhanced Alternative,H1036,153,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,5.0
Oregon,Washington,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1036,306,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.5,5.0
Oregon,Washington,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Washington,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Washington,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Washington,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,033,0,,Yes,$0.00 ,$28.30 ,$0.00 ,$28.30 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Oregon,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Washington,Devoted Health,Local CCP,Devoted CORE Oregon (HMO),HMO,No,,Enhanced Alternative,H2923,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Washington,"Moda Health Plan, Inc.",Local CCP,Moda Health Metro PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,013,0,,,$13.90 ,$72.10 ,$0.00 ,$72.10 ,$31.50 ,$150.00 ,1,,,3.0,3.0,3.0
Oregon,Washington,"Moda Health Plan, Inc.",Local CCP,Moda Health + Fred Meyer PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,016,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Washington,"Moda Health Plan, Inc.",Local CCP,Moda Health Elements PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,3.0,3.0,3.0
Oregon,Washington,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,1,,,$16.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Washington,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,1,,,$124.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Washington,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Washington,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Rx 40 (HMO),HMO,No,,Enhanced Alternative,H3864,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,PacificSource Medicare,Local CCP,PacificSource Dual Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H3864,043,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Washington,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Oregon,Washington,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Oregon,Washington,Humana,Local CCP,Humana Value Plus H5216-294 (PPO),Local PPO,No,,Basic Alternative,H5216,294,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Washington,CareOregon Advantage,Local CCP,CareOregon Advantage Plus (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5859,001,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Washington,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Oregon,Washington,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,1,,,$29.90 ,$11.10 ,$0.00 ,$11.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Washington,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Washington,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Washington,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,019,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Washington,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,020,0,,,$73.60 ,$51.40 ,$0.00 ,$51.40 ,$10.80 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Washington,Devoted Health,Local CCP,Devoted CHOICE Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Washington,Devoted Health,Local CCP,Devoted CHOICE PLUS Oregon (PPO),Local PPO,No,,Enhanced Alternative,H7199,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Oregon,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Oregon,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Oregon,Washington,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Washington,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Washington,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Washington,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Prime + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Dual Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9047,043,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Oregon,Washington,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Washington,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Oregon,Wheeler,"Summit Health Plan, Inc.",Local CCP,Summit Health Value + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.5,3.0,3.5
Oregon,Wheeler,"Summit Health Plan, Inc.",Local CCP,Summit Health Standard + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,003,0,,,$42.30 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$150.00 ,1,,,3.5,3.0,3.5
Oregon,Wheeler,"Summit Health Plan, Inc.",Local CCP,Summit Health Premier + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2765,004,0,,,$111.40 ,$58.60 ,$0.00 ,$58.60 ,$18.00 ,$100.00 ,1,,,3.5,3.0,3.5
Oregon,Wheeler,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 6 (HMO),HMO,No,,Enhanced Alternative,H3864,006,0,,,$165.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wheeler,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 14 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,014,0,,,$62.40 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wheeler,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Rx 27 (HMO),HMO,No,,Enhanced Alternative,H3864,027,0,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$399.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Wheeler,PacificSource Medicare,Local CCP,PacificSource Medicare Essentials Choice Rx 36 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.5,3.5,3.5
Oregon,Wheeler,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wheeler,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wheeler,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Wheeler,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Yamhill,UnitedHealthcare,Local CCP,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H0271,036,0,,Yes,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,036,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,037,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Oregon,Yamhill,AgeRight Advantage,Local CCP,AgeRight Advantage Health Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1372,001,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,Not enough data available,5.0,Not enough data available
Oregon,Yamhill,AgeRight Advantage,Local CCP,AgeRight Advantage Plus Health Plan (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1372,002,0,,,$23.60 ,$31.40 ,$0.00 ,$31.40 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Yamhill,AgeRight Advantage,Local CCP,AgeRight Advantage Premier Health Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1372,003,0,,,$16.90 ,$38.10 ,$0.00 ,$38.10 ,$0.00 ,$300.00 ,1,,,Not enough data available,5.0,Not enough data available
Oregon,Yamhill,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Yamhill,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Yamhill,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Oregon,Yamhill,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2056,011,0,,,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$400.00 ,1,,Yes,3.5,3.0,3.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,042,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,001,0,,,$19.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Yamhill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC OR-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,039,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Oregon,Yamhill,"Moda Health Plan, Inc.",Local CCP,Moda Health + Fred Meyer PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,016,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$200.00 ,1,,,3.0,3.0,3.0
Oregon,Yamhill,"Moda Health Plan, Inc.",Local CCP,Moda Health Elements PPORX (PPO),Local PPO,No,,Enhanced Alternative,H3813,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,,3.0,3.0,3.0
Oregon,Yamhill,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,2,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Yamhill,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Oregon,Yamhill,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,2,,,$0.00 ,$10.50 ,$0.00 ,$10.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare Premium Ultra Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,011,0,,,$92.90 ,$23.00 ,$23.10 ,$46.10 ,$23.10 ,$150.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H6815,037,0,,Yes,$0.00 ,$16.60 ,$0.00 ,$16.60 ,$0.00 ,$380.00 ,1,,,3.0,3.0,3.0
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,038,0,,,$0.00 ,($0.70),$0.70 ,$0.00 ,$0.00 ,$425.00 ,1,,,3.0,3.0,3.0
Oregon,Yamhill,Wellcare by Health Net,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H6815,039,0,,,$0.00 ,($1.70),$1.70 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Oregon,Yamhill,ATRIO Health Plans,Local CCP,ATRIO Choice Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Yamhill,ATRIO Health Plans,Local CCP,ATRIO Select Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,019,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Yamhill,ATRIO Health Plans,Local CCP,ATRIO Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H7006,020,0,,,$73.60 ,$51.40 ,$0.00 ,$51.40 ,$10.80 ,$0.00 ,,,,3.0,3.5,3.0
Oregon,Yamhill,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Yamhill,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Yamhill,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Oregon,Yamhill,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Prime + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Yamhill,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Yamhill,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Yamhill,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Oregon,Yamhill,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H9431,005,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.0
Pennsylvania,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,080,0,Yes,Yes,,$41.60 ,$0.00 ,$41.60 ,$1.40 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Pennsylvania,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,141,0,Yes,,,($18.40),$18.90 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Pennsylvania,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,209,0,Yes,,,$32.40 ,$46.50 ,$78.90 ,$46.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Pennsylvania,(All Counties),Highmark Blue Shield,PDP,Blue Rx PDP Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5593,002,0,,,,$108.80 ,$0.00 ,$108.80 ,$68.60 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Pennsylvania,(All Counties),Highmark Blue Shield,PDP,Blue Rx PDP Complete (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5593,003,0,,,,$135.30 ,$59.80 ,$195.10 ,$154.90 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Pennsylvania,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,012,0,Yes,Yes,,$40.70 ,$0.00 ,$40.70 ,$0.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,013,0,Yes,,,$39.20 ,$60.40 ,$99.60 ,$60.40 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,181,0,Yes,,,$7.20 ,$2.70 ,$9.90 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,215,0,Yes,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,251,0,Yes,,,$78.30 ,$12.70 ,$91.00 ,$50.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,356,0,Yes,,,$3.20 ,$17.20 ,$20.40 ,$17.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,005,0,Yes,,,$74.10 ,$33.00 ,$107.10 ,$66.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Pennsylvania,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,104,0,Yes,,,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Pennsylvania,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,152,0,Yes,,,$79.70 ,$27.00 ,$106.70 ,$66.50 ,$100.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Pennsylvania,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,185,0,Yes,,,$36.70 ,$4.90 ,$41.60 ,$4.90 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Pennsylvania,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,351,0,Yes,Yes,,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,388,0,Yes,,,$62.50 ,$6.00 ,$68.50 ,$28.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Pennsylvania,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,005,0,,,,$41.20 ,$0.00 ,$41.20 ,$1.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Pennsylvania,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,075,0,,,,$72.60 ,$15.60 ,$88.20 ,$48.00 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Pennsylvania,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,108,0,,,,($3.10),$28.00 ,$24.90 ,$24.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Pennsylvania,Adams,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Adams,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Adams,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Adams,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Adams,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Adams,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Adams,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Adams,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Adams,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Adams,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Adams,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Adams,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Adams,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Adams,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Adams,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Adams,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Adams,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Adams,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Adams,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Adams,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Adams,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Adams,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Allegheny,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Allegheny,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Allegheny,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Allegheny,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Allegheny,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Allegheny,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Allegheny,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Allegheny,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,1,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Allegheny,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Allegheny,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Together Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,001,0,,,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Allegheny,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Allegheny,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Allegheny,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Allegheny,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Allegheny,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,001,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Allegheny,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Allegheny,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Allegheny,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Allegheny,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,1,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Allegheny,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Allegheny,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Allegheny,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Allegheny,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Armstrong,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Armstrong,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Armstrong,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Armstrong,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Armstrong,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Armstrong,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Armstrong,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Armstrong,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Armstrong,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Armstrong,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Armstrong,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Armstrong,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Armstrong,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Armstrong,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Armstrong,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Armstrong,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Armstrong,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Armstrong,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Armstrong,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Armstrong,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Armstrong,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Armstrong,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Beaver,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Beaver,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Beaver,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Beaver,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Beaver,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Beaver,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Beaver,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Beaver,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Beaver,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Beaver,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Beaver Valley Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Beaver,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Beaver,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Beaver,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Beaver,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Beaver,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Beaver,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Beaver,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Beaver,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Beaver,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Beaver,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Beaver,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Beaver,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Beaver,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Beaver,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bedford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Bedford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Bedford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Bedford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bedford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Bedford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Bedford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bedford,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bedford,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bedford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bedford,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Bedford,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bedford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bedford,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Bedford,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Bedford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bedford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bedford,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Berks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Berks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Berks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Berks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Berks,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Berks,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Berks,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Berks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Berks,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Berks,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Berks,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Berks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Berks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Berks,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Berks,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Berks,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,034,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Berks,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Berks,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Berks,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Berks,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Berks,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Berks,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Berks,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Berks,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Berks,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Berks,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Berks,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Berks,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Berks,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Berks,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Berks,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Berks,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Berks,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Berks,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Berks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Berks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Berks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Berks,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Blair,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Blair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Blair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Blair,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Blair,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Blair,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Blair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Blair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Blair,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Blair,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Blair,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Blair,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Blair,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Blair,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Blair,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Blair,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare PennHighlands Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Blair,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Blair,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Blair,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Blair,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Blair,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Blair,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Blair,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Blair,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Blair,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bradford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Bradford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Bradford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Bradford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bradford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Bradford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bradford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bradford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bradford,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bradford,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bradford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bradford,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Bradford,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Bradford,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bradford,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bradford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bradford,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bradford,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Bradford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bradford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bradford,Humana,Local CCP,Humana Gold Plus H6622-052 (HMO),HMO,No,,Enhanced Alternative,H6622,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bradford,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bradford,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Bradford,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bucks,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Bucks,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Bucks,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,048,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Bucks,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bucks,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Bucks,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Personal Choice 65 Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,001,0,,,$138.70 ,$54.50 ,$53.80 ,$108.30 ,$68.10 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Personal Choice 65 Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Personal Choice 65 Saver Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Personal Choice 65 Elite Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,017,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,004,0,,,$51.80 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,064,0,,,$21.30 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Philly Suburban Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bucks,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3949,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bucks,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,030,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bucks,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Keystone 65 Preferred Rx (HMO),HMO,No,,Enhanced Alternative,H3952,020,0,,,$135.40 ,$43.60 ,$0.00 ,$43.60 ,$3.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Keystone 65 Select Rx (HMO),HMO,No,,Enhanced Alternative,H3952,049,0,,,$23.80 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Keystone 65 Focus Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3952,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bucks,Independence Blue Cross,Local CCP,Keystone 65 Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3952,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,033,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,035,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Bucks,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Bucks,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Bucks,VISTA Health Plan Inc.,Local CCP,Keystone First VIP Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Bucks,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,373,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,014,0,,,$39.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H5522,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Bucks,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core (PPO),Local PPO,No,,Enhanced Alternative,H5522,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bucks,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Bucks,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Bucks,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,012,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bucks,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,013,0,,,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Bucks,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,Humana,Local CCP,Humana Gold Plus H6622-037 (HMO),HMO,No,,Enhanced Alternative,H6622,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Bucks,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,2,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Bucks,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Bucks,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7123,001,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Bucks,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,3.5
Pennsylvania,Bucks,Jefferson Health Plans,Local CCP,Jefferson Health Plans Dual Pearl (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,016,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Bucks,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Butler,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Butler,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Butler,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Butler,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Butler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Butler,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Butler,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Butler,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Butler,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Butler,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Butler,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Butler,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Together Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Butler Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Butler,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Butler,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Butler,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Butler,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Butler,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Butler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Butler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Butler,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Butler,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Butler,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Butler,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Butler,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Butler,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Butler,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cambria,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Cambria,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Cambria,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Cambria,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cambria,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Cambria,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Cambria,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cambria,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cambria,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cambria,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Cambria,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cambria,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cambria,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cambria,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cambria,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cambria,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cambria,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cambria,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cameron,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Cameron,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Cameron,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Cameron,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cameron,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Cameron,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Cameron,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cameron,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cameron,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Cameron,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Cameron,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Cameron,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cameron,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cameron,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cameron,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cameron,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Carbon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Carbon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Carbon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Carbon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Carbon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Carbon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Carbon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Carbon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Carbon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Carbon,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Carbon,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Carbon,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare The Valley Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,294,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Carbon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Carbon,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Carbon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Carbon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Carbon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Carbon,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Carbon,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Carbon,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Carbon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Carbon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Carbon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Carbon,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Centre,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Centre,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Centre,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Centre,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Centre,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Centre,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Centre,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Centre,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Centre,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Centre,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Centre,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Centre,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Centre,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Centre,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Centre,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,25,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Centre,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Centre,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Centre,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Centre,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Centre,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Centre,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Centre,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Centre,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Centre,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Centre,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Centre,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Centre,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Centre,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Chester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Chester,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Chester,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Chester,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,048,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Chester,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Chester,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Chester,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Personal Choice 65 Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,009,0,,,$112.30 ,$45.70 ,$0.00 ,$45.70 ,$5.50 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Personal Choice 65 Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Personal Choice 65 Saver Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Personal Choice 65 Elite Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,017,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,004,0,,,$51.80 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,064,0,,,$21.30 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Philly Suburban Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Chester,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3949,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,030,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Keystone 65 Preferred Rx (HMO),HMO,No,,Enhanced Alternative,H3952,045,0,,,$153.60 ,$23.80 ,$27.60 ,$51.40 ,$27.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Keystone 65 Select Rx (HMO),HMO,No,,Enhanced Alternative,H3952,051,0,,,$57.60 ,$19.90 ,$0.00 ,$19.90 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Keystone 65 Focus Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3952,054,0,,,$15.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Chester,Independence Blue Cross,Local CCP,Keystone 65 Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3952,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,033,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,035,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Chester,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Chester,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Chester,VISTA Health Plan Inc.,Local CCP,Keystone First VIP Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,373,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,014,0,,,$39.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H5522,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Chester,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core (PPO),Local PPO,No,,Enhanced Alternative,H5522,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Chester,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Chester,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Chester,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,012,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Chester,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,013,0,,,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Chester,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,Humana,Local CCP,Humana Gold Plus H6622-037 (HMO),HMO,No,,Enhanced Alternative,H6622,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Chester,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,2,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Chester,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Chester,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7123,001,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Chester,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Chester,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Chester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Chester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Chester,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Chester,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clarion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Clarion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Clarion,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Clarion,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clarion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Clarion,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Clarion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clarion,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clarion,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clarion,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Clarion,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Butler Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clarion,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Clarion,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clarion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clarion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clarion,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clarion,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clarion,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clarion,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clarion,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Clarion,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Clarion,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clearfield,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Clearfield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Clearfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Clearfield,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clearfield,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Clearfield,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Clearfield,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clearfield,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Clearfield,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare PennHighlands Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clearfield,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Clearfield,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clearfield,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clearfield,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clearfield,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clearfield,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clearfield,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clearfield,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clearfield,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clearfield,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Clinton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Clinton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Clinton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Clinton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clinton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Clinton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clinton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,036,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,046,0,,,$0.00 ,$38.70 ,$7.30 ,$46.00 ,$7.30 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,25,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Clinton,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Clinton,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Clinton,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Clinton,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clinton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Clinton,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clinton,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Clinton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clinton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Clinton,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Clinton,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,24,,,$5.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Columbia,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Columbia,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Columbia,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Columbia,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Columbia,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Columbia,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Columbia,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Crawford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Crawford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Crawford,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Crawford,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Crawford,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Crawford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Crawford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Crawford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Crawford,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,050,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Crawford,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Crawford,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Crawford,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Crawford,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Crawford,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Crawford,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Crawford,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Crawford,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Crawford,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Crawford,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Crawford,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Crawford,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Crawford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Crawford,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Crawford,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Crawford,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Crawford,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Crawford,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,109,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Crawford,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Cumberland,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cumberland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Cumberland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Cumberland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Cumberland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cumberland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Cumberland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Cumberland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Cumberland,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Cumberland,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Cumberland,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (PPO),Local PPO,No,,Enhanced Alternative,H5522,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Cumberland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Cumberland,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cumberland,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Cumberland,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cumberland,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Cumberland,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Cumberland,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Cumberland,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Cumberland,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Cumberland,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Cumberland,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Cumberland,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Dauphin,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Dauphin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Dauphin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Dauphin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Dauphin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Dauphin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Dauphin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Dauphin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Dauphin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Dauphin,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Dauphin,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Dauphin,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (PPO),Local PPO,No,,Enhanced Alternative,H5522,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Dauphin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Dauphin,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Dauphin,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Dauphin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Dauphin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Dauphin,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Dauphin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Dauphin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Dauphin,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Dauphin,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Dauphin,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Dauphin,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Dauphin,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Delaware,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Delaware,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Delaware,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,048,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Delaware,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Delaware,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Delaware,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Personal Choice 65 Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,009,0,,,$112.30 ,$45.70 ,$0.00 ,$45.70 ,$5.50 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Personal Choice 65 Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Personal Choice 65 Saver Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Personal Choice 65 Elite Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,017,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,004,0,,,$51.80 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,064,0,,,$21.30 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Philly Suburban Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Delaware,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3949,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Delaware,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,030,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Delaware,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Keystone 65 Preferred Rx (HMO),HMO,No,,Enhanced Alternative,H3952,045,0,,,$153.60 ,$23.80 ,$27.60 ,$51.40 ,$27.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Keystone 65 Select Rx (HMO),HMO,No,,Enhanced Alternative,H3952,051,0,,,$57.60 ,$19.90 ,$0.00 ,$19.90 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Keystone 65 Focus Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3952,054,0,,,$15.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Delaware,Independence Blue Cross,Local CCP,Keystone 65 Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3952,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Delaware,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Delaware,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,033,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,035,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Delaware,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Delaware,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Delaware,VISTA Health Plan Inc.,Local CCP,Keystone First VIP Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Delaware,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,373,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,014,0,,,$39.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H5522,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Delaware,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core (PPO),Local PPO,No,,Enhanced Alternative,H5522,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Delaware,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Delaware,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Delaware,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,012,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Delaware,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,013,0,,,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Delaware,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,Humana,Local CCP,Humana Gold Plus H6622-037 (HMO),HMO,No,,Enhanced Alternative,H6622,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Delaware,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,2,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Delaware,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Delaware,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7123,001,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Delaware,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Delaware,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Delaware,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Delaware,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Delaware,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Elk,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Elk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Elk,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Elk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Elk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Elk,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Elk,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Elk,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Elk,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Elk,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Elk,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Elk,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Elk,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Elk,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare PennHighlands Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Elk,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Elk,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Elk,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Elk,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Elk,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Elk,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Elk,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Elk,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Elk,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Elk,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Erie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Erie,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Erie,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Erie,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Erie,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Erie,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Erie,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Erie,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Together Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Erie,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Erie,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Erie,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Erie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Erie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Erie,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Erie,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Erie,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Erie,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Erie,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Erie,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Fayette,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Fayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Fayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Fayette,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Fayette,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Fayette,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Fayette,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Fayette,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fayette,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Fayette,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Fayette,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Fayette,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Fayette,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fayette,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fayette,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fayette,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fayette,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fayette,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Forest,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Forest,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Forest,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Forest,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Forest,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Forest,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Forest,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Forest,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Forest,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Forest,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Forest,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Forest,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Forest,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Forest,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Forest,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Forest,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Forest,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Forest,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Forest,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Franklin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Franklin,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Franklin,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Franklin,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Franklin,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Franklin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Franklin,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Franklin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Franklin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Franklin,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Franklin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Franklin,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Franklin,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Fulton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Fulton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Fulton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Fulton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Fulton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Fulton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Fulton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Fulton,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Fulton,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Fulton,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fulton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Fulton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Fulton,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fulton,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Fulton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fulton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Fulton,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Fulton,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Greene,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Greene,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Greene,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Greene,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Greene,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Greene,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Greene,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Greene,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Greene,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Washington Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Greene,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Greene,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Greene,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Greene,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Greene,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Greene,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Greene,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Greene,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Greene,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Greene,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Greene,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Greene,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Huntingdon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Huntingdon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Huntingdon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Huntingdon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Huntingdon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Huntingdon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Huntingdon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Huntingdon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare PennHighlands Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Huntingdon,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Huntingdon,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Huntingdon,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Huntingdon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Huntingdon,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Huntingdon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Huntingdon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Huntingdon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Huntingdon,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Huntingdon,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Huntingdon,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Indiana,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Indiana,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Indiana,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Indiana,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Indiana,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Indiana,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Indiana,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Indiana,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Indiana,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Indiana,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Indiana,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Indiana,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Indiana,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Indiana,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Indiana,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Indiana,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Indiana,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Jefferson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Jefferson,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare PennHighlands Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Jefferson,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Jefferson,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Jefferson,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Jefferson,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Jefferson,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Jefferson,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Jefferson,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Jefferson,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Juniata,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Juniata,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Juniata,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Juniata,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Juniata,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Juniata,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Juniata,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,25,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Juniata,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Juniata,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Juniata,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Juniata,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Juniata,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Juniata,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (PPO),Local PPO,No,,Enhanced Alternative,H5522,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Juniata,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Juniata,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Juniata,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Juniata,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Juniata,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Juniata,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Juniata,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lackawanna,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lackawanna,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lackawanna,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Lackawanna,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lackawanna,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lackawanna,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lackawanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lackawanna,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lackawanna,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lackawanna,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lackawanna,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Lackawanna,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lancaster,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lancaster,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lancaster,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lancaster,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lancaster,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lancaster,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lancaster,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lancaster,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,5,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,4,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lancaster,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lancaster,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lancaster,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Lancaster,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Lancaster,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lancaster,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lancaster,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lancaster,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lancaster,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lancaster,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lancaster,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lancaster,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lancaster,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lancaster,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lancaster,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Lancaster,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lancaster,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Lancaster,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lancaster,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lawrence,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lawrence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Lawrence,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lawrence,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lawrence,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lawrence,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lawrence,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lawrence,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Lawrence,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Lawrence,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lawrence,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lawrence,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lawrence,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lawrence,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lawrence,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lawrence,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lawrence,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lawrence,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lawrence,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lebanon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lebanon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lebanon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lebanon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lebanon,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lebanon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lebanon,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lebanon,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lebanon,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lebanon,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lebanon,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lebanon,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lebanon,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lebanon,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lebanon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lebanon,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lebanon,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lebanon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lebanon,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lebanon,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lebanon,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lebanon,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lebanon,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Lebanon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lebanon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Lebanon,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lebanon,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lehigh,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lehigh,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lehigh,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lehigh,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lehigh,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Lehigh,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lehigh,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lehigh,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lehigh,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lehigh,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lehigh,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lehigh,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lehigh,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,034,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lehigh,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lehigh,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,046,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lehigh,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Lehigh,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lehigh,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare The Valley Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,294,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lehigh,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lehigh,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lehigh,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lehigh,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lehigh,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lehigh,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lehigh,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lehigh,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lehigh,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Lehigh,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lehigh,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,105,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Lehigh,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lehigh,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Lehigh,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Lehigh,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Luzerne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Luzerne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Luzerne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Luzerne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Luzerne,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Luzerne,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Luzerne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Luzerne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Luzerne,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Luzerne,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Luzerne,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Luzerne,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Luzerne,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Luzerne,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Lycoming,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Lycoming,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Lycoming,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Lycoming,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lycoming,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Lycoming,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lycoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,036,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,046,0,,,$0.00 ,$38.70 ,$7.30 ,$46.00 ,$7.30 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Lycoming,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Lycoming,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Lycoming,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lycoming,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Lycoming,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lycoming,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Lycoming,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lycoming,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Lycoming,Humana,Local CCP,Humana Gold Plus H6622-052 (HMO),HMO,No,,Enhanced Alternative,H6622,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Lycoming,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Lycoming,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,McKean,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,McKean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,McKean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,McKean,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,McKean,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,McKean,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,McKean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,McKean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,McKean,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,McKean,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,McKean,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,McKean,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,McKean,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,McKean,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,McKean,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,McKean,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,McKean,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,McKean,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,McKean,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,McKean,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,McKean,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,McKean,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,McKean,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,McKean,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,McKean,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,McKean,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,McKean,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,McKean,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Mercer,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Mercer,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Mercer,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Mercer,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Mercer,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Mercer,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Mercer,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Mercer,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Mercer,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Mercer,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,050,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Mercer,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mercer,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Mercer,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Mercer,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Mercer,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5216-023 (PPO),Local PPO,No,,Enhanced Alternative,H5216,023,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$100.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Mercer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Mercer,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mercer,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mercer,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mercer,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mercer,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mercer,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mercer,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Mercer,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Mercer,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,109,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Mercer,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Mifflin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Mifflin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Mifflin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Mifflin,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Mifflin,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Mifflin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Mifflin,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,25,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Mifflin,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Mifflin,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Mifflin,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Mifflin,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Mifflin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Mifflin,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mifflin,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Mifflin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mifflin,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Mifflin,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Mifflin,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Monroe,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Monroe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Monroe,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Monroe,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Monroe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Monroe,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Monroe,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Monroe,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare The Valley Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,294,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Monroe,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Monroe,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Monroe,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Monroe,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Monroe,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Montgomery,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,048,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Montgomery,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Montgomery,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Personal Choice 65 Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,009,0,,,$112.30 ,$45.70 ,$0.00 ,$45.70 ,$5.50 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Personal Choice 65 Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Personal Choice 65 Saver Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Personal Choice 65 Elite Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,017,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,004,0,,,$51.80 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,064,0,,,$21.30 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Philly Suburban Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montgomery,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3949,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,030,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Keystone 65 Preferred Rx (HMO),HMO,No,,Enhanced Alternative,H3952,045,0,,,$153.60 ,$23.80 ,$27.60 ,$51.40 ,$27.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Keystone 65 Select Rx (HMO),HMO,No,,Enhanced Alternative,H3952,051,0,,,$57.60 ,$19.90 ,$0.00 ,$19.90 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Keystone 65 Focus Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3952,054,0,,,$15.00 ,($3.40),$3.40 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montgomery,Independence Blue Cross,Local CCP,Keystone 65 Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3952,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montgomery,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Montgomery,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,033,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,035,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montgomery,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Montgomery,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Montgomery,VISTA Health Plan Inc.,Local CCP,Keystone First VIP Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,373,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,014,0,,,$39.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H5522,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core (PPO),Local PPO,No,,Enhanced Alternative,H5522,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Montgomery,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Montgomery,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montgomery,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,012,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montgomery,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,013,0,,,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montgomery,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-037 (HMO),HMO,No,,Enhanced Alternative,H6622,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,2,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Montgomery,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Montgomery,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7123,001,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,3.5
Pennsylvania,Montgomery,Jefferson Health Plans,Local CCP,Jefferson Health Plans Dual Pearl (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,016,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Montgomery,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Montour,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Montour,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Montour,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Montour,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Montour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Montour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Montour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Montour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Montour,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montour,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,24,,,$5.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Montour,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Montour,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Montour,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Montour,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Montour,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Montour,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Montour,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Montour,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Montour,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Montour,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montour,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Montour,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Northampton,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Northampton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Northampton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Northampton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Northampton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Northampton,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Northampton,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Northampton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Northampton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northampton,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Northampton,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northampton,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,034,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Northampton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Northampton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,046,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northampton,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northampton,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Northampton,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare The Valley Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,294,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Northampton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Northampton,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Northampton,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Northampton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Northampton,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Northampton,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northampton,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Northampton,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Northampton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,104,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Northampton,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,105,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Northampton,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Northampton,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Northampton,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Northampton,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,24,,,$5.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northumberland,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Northumberland,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Northumberland,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Northumberland,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Perry,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Perry,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Perry,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Perry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Perry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Perry,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Perry,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Perry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Perry,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Perry,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Perry,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Perry,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Perry,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (PPO),Local PPO,No,,Enhanced Alternative,H5522,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Perry,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Perry,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Perry,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Perry,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Perry,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Perry,Humana,Local CCP,Humana Gold Plus H6622-035 (HMO),HMO,No,,Enhanced Alternative,H6622,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Perry,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Perry,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Perry,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Perry,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Perry,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,067,0,,,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Philadelphia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Philadelphia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Philadelphia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0009 (PPO),Local PPO,No,,Enhanced Alternative,H2406,048,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0010 (PPO),Local PPO,No,,Enhanced Alternative,H2406,071,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0013 (PPO),Local PPO,No,,Enhanced Alternative,H2406,102,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Philadelphia,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Philadelphia,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Philadelphia,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Philadelphia,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Personal Choice 65 Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,001,0,,,$138.70 ,$54.50 ,$53.80 ,$108.30 ,$68.10 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Personal Choice 65 Prime Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Personal Choice 65 Saver Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Personal Choice 65 Elite Rx (PPO),Local PPO,No,,Enhanced Alternative,H3909,017,0,,,$0.00 ,$25.60 ,$0.00 ,$25.60 ,$0.00 ,$0.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,004,0,,,$51.80 ,$35.20 ,$0.00 ,$35.20 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,064,0,,,$21.30 ,$35.70 ,$0.00 ,$35.70 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Philly Suburban Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,105,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Philadelphia,Cigna Healthcare,Local CCP,Cigna Achieve Medicare (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3949,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Philadelphia,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,030,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Philadelphia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Keystone 65 Preferred Rx (HMO),HMO,No,,Enhanced Alternative,H3952,020,0,,,$135.40 ,$43.60 ,$0.00 ,$43.60 ,$3.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Keystone 65 Select Rx (HMO),HMO,No,,Enhanced Alternative,H3952,049,0,,,$23.80 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Keystone 65 Focus Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3952,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Philadelphia,Independence Blue Cross,Local CCP,Keystone 65 Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3952,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Philadelphia,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Philadelphia,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,033,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,035,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Philly Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Philadelphia,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Philadelphia,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Philadelphia,VISTA Health Plan Inc.,Local CCP,Keystone First VIP Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Philadelphia,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,373,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,014,0,,,$39.70 ,$19.30 ,$0.00 ,$19.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare SmartSaver Elite (PPO),Local PPO,No,,Enhanced Alternative,H5522,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Philadelphia,Aetna Medicare,Local CCP,Aetna Medicare Freedom Core (PPO),Local PPO,No,,Enhanced Alternative,H5522,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Philadelphia,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,012,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Philadelphia,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,013,0,,,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Philadelphia,Devoted Health,Local CCP,Devoted CHOICE Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,Devoted Health,Local CCP,Devoted CHOICE PLUS Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,002,0,,,$0.00 ,$20.90 ,$0.00 ,$20.90 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Pennsylvania (PPO),Local PPO,No,,Enhanced Alternative,H6018,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,Humana,Local CCP,Humana Gold Plus H6622-037 (HMO),HMO,No,,Enhanced Alternative,H6622,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Philadelphia,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,2,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Philadelphia,Devoted Health,Local CCP,Devoted CORE Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,Devoted Health,Local CCP,Devoted GIVEBACK Pennsylvania (HMO),HMO,No,,Enhanced Alternative,H6852,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Philadelphia,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7123,001,0,,,$0.00 ,$39.20 ,$0.00 ,$39.20 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Philadelphia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Giveback (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,3.5,3.5
Pennsylvania,Philadelphia,Jefferson Health Plans,Local CCP,Jefferson Health Plans Dual Pearl (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,016,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Philadelphia,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Pike,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Pike,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Pike,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Pike,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Pike,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Pike,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Pike,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Pike,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Potter,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Potter,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Potter,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Potter,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Potter,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Potter,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Potter,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Potter,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Potter,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Potter,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Potter,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Potter,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Potter,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Potter,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Potter,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Potter,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Potter,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Potter,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Potter,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Potter,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Potter,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Potter,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Schuylkill,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex (PPO),Local PPO,No,,Enhanced Alternative,H1619,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Schuylkill,Jefferson Health Plans,Local CCP,Jefferson Health Plans Flex Plus (PPO),Local PPO,No,,Enhanced Alternative,H1619,002,0,,,$0.00 ,$49.00 ,$0.00 ,$49.00 ,$8.80 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Schuylkill,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Schuylkill,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Schuylkill,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Schuylkill,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Schuylkill,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Schuylkill,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Schuylkill,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Schuylkill,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,034,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,23,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Schuylkill,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Schuylkill,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Schuylkill,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Schuylkill,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare The Valley Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,294,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Schuylkill,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Schuylkill,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Schuylkill,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Schuylkill,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Schuylkill,Jefferson Health Plans,Local CCP,Jefferson Health Plans Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,002,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Schuylkill,Jefferson Health Plans,Local CCP,Jefferson Health Plans Special (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9207,004,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,3.5
Pennsylvania,Schuylkill,Jefferson Health Plans,Local CCP,Jefferson Health Plans Complete (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9207,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,3.5
Pennsylvania,Schuylkill,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Snyder,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Snyder,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Snyder,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Snyder,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Snyder,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Snyder,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Snyder,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,24,,,$5.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Snyder,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Snyder,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Snyder,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Snyder,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Snyder,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Snyder,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Snyder,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Snyder,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Snyder,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Snyder,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Snyder,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Snyder,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Snyder,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Somerset,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Somerset,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Somerset,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Somerset,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Somerset,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Somerset,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Somerset,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Somerset,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,5,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,2,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,1,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Somerset,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Somerset,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Somerset,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Somerset,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Somerset,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Somerset,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Somerset,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Somerset,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Somerset,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Somerset,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Somerset,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Somerset,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Sullivan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Sullivan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Sullivan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Sullivan,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Sullivan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,036,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,046,0,,,$0.00 ,$38.70 ,$7.30 ,$46.00 ,$7.30 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Sullivan,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Sullivan,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Sullivan,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Sullivan,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Sullivan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Sullivan,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Sullivan,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Sullivan,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Sullivan,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Sullivan,Humana,Local CCP,Humana Gold Plus H6622-052 (HMO),HMO,No,,Enhanced Alternative,H6622,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Sullivan,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Susquehanna,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Susquehanna,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Susquehanna,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Susquehanna,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Susquehanna,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Susquehanna,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Susquehanna,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Susquehanna,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Susquehanna,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Susquehanna,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Susquehanna,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Susquehanna,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Susquehanna,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Susquehanna,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Susquehanna,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Susquehanna,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Susquehanna,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Susquehanna,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Susquehanna,Humana,Local CCP,Humana Gold Plus H6622-052 (HMO),HMO,No,,Enhanced Alternative,H6622,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Susquehanna,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Susquehanna,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Susquehanna,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Tioga,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Tioga,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Tioga,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Tioga,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Tioga,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Tioga,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Tioga,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,036,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Tioga,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare Plus PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,046,0,,,$0.00 ,$38.70 ,$7.30 ,$46.00 ,$7.30 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Tioga,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Tioga,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Tioga,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Tioga,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Tioga,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Tioga,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Tioga,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Tioga,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Tioga,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Tioga,Humana,Local CCP,Humana Gold Plus H6622-052 (HMO),HMO,No,,Enhanced Alternative,H6622,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Tioga,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Tioga,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Tioga,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Union,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Union,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Union,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Union,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Union,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Union,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Union,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Union,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Union,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,Capital Blue Cross Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,Capital Blue Cross Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3923,035,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,24,,,$5.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,21,,,$79.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,14,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Union,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Union,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Union,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,Union,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Union,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5522,024,0,,Yes,$0.00 ,$35.40 ,$0.00 ,$35.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Pennsylvania,Union,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Union,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Union,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Union,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Union,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Union,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Union,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Venango,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Venango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Venango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Venango,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Venango,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Venango,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Venango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Venango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Venango,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Venango,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Venango,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Venango,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Venango,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Venango,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Venango,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Venango,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Venango,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Venango,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,050,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Venango,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Venango,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Venango,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Venango,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Venango,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Venango,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Venango,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Venango,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Venango,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Venango,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Venango,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Venango,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,108,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Venango,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,109,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Venango,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Warren,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Warren,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Warren,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Warren,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Warren,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,3,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,002,0,,,$140.10 ,$61.00 ,$41.90 ,$102.90 ,$62.70 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,024,0,,,$46.90 ,$33.60 ,$38.50 ,$72.10 ,$38.50 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,033,0,,,$0.00 ,$32.60 ,$28.40 ,$61.00 ,$28.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Warren,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Warren,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,044,4,,,$0.00 ,$30.40 ,$12.60 ,$43.00 ,$12.60 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,2,,,$60.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,2,,,$115.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Warren,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Warren,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Warren,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Warren,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Warren,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Warren,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Warren,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Warren,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Warren,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Warren,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Warren,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Washington,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Washington,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Washington,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Washington,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Together Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Washington Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Washington,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Washington,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Washington,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Washington,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Washington,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Washington,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Washington,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Washington,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Washington,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Washington,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Wayne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Wayne,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Wayne,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Wayne,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Wayne,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Wayne,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wayne,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Wayne,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wayne,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,21,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wayne,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wayne,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Wayne,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Wayne,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Wayne,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wayne,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Wayne,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wayne,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wayne,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Wayne,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,011,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Westmoreland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Westmoreland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Westmoreland,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,117,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0014 (PPO),Local PPO,No,,Enhanced Alternative,H2577,021,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Westmoreland,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Westmoreland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,003,0,,,$0.00 ,($5.00),$5.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Pennsylvania,Westmoreland,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Westmoreland,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,2,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Classic (PPO),Local PPO,No,,Enhanced Alternative,H3916,001,0,,,$169.00 ,$60.60 ,$41.40 ,$102.00 ,$61.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Select (PPO),Local PPO,No,,Enhanced Alternative,H3916,022,0,,,$60.80 ,$58.00 ,$39.20 ,$97.20 ,$57.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,032,0,,,$8.00 ,$25.20 ,$30.80 ,$56.00 ,$30.80 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,035,1,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,041,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Complete Blue PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,044,1,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,048,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Westmoreland,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Westmoreland,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS ValueRx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,031,0,,,$0.00 ,$31.10 ,$16.90 ,$48.00 ,$16.90 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Prestige (HMO),HMO,No,,Enhanced Alternative,H3957,039,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,045,1,,,$94.70 ,$41.70 ,$45.60 ,$87.30 ,$47.10 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Security Blue HMO-POS Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3957,046,1,,,$151.80 ,$43.80 ,$49.40 ,$93.20 ,$53.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,047,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Together Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,002,0,,,$1.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Excela Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Westmoreland,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Westmoreland,Provider Partners Health Plans,Local CCP,Provider Partners Pennsylvania Community Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4093,004,0,,Yes,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
Pennsylvania,Westmoreland,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Westmoreland,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Westmoreland,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,261,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,005,0,,,$0.00 ,$13.00 ,$0.00 ,$13.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Westmoreland,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Westmoreland,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life PPO High Deductible Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,003,0,,,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,005,0,,,$91.00 ,$43.00 ,$0.00 ,$43.00 ,$2.80 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Westmoreland,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,015,2,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Westmoreland,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Westmoreland,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Westmoreland,Humana,Local CCP,Humana Gold Plus H6622-054 (HMO),HMO,No,,Enhanced Alternative,H6622,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,106,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,107,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Westmoreland,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,111,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,Westmoreland,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,Wyoming,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,Wyoming,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,Wyoming,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2577,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Pennsylvania,Wyoming,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,Wyoming,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,Wyoming,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,Wyoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wyoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,Wyoming,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wyoming,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,4,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,3,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,21,,,$42.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,25,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,22,,,$55.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,Wyoming,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,Wyoming,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,004,0,,,$0.00 ,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Deluxe Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Essentials Plan (PPO),Local PPO,No,,Enhanced Alternative,H5522,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,4.5,4.5
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Wyoming,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,Wyoming,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,Wyoming,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,Wyoming,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wyoming,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,Wyoming,Humana,Local CCP,Humana Gold Plus H6622-036 (HMO),HMO,No,,Enhanced Alternative,H6622,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,Wyoming,Humana,Local CCP,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H6622,078,1,,Yes,$0.00 ,$38.90 ,$0.00 ,$38.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,Wyoming,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,Wyoming,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Pennsylvania,York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,017,0,,Yes,$0.00 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,York,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,002,0,,,$0.00 ,($5.60),$5.60 ,$0.00 ,$0.00 ,$160.00 ,1,,,2.5,2.5,2.5
Pennsylvania,York,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H2128,004,0,,,$0.00 ,($9.40),$9.40 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,2.5,2.5
Pennsylvania,York,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2128,005,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Pennsylvania,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2406,046,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0008 (PPO),Local PPO,No,,Enhanced Alternative,H2406,047,0,,,$10.70 ,$33.30 ,$0.00 ,$33.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0011 (PPO),Local PPO,No,,Enhanced Alternative,H2406,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Pennsylvania,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC PA-0012 (PPO),Local PPO,No,,Enhanced Alternative,H2406,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,4.5,4.0
Pennsylvania,York,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2915,007,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,4.0,4.0
Pennsylvania,York,Wellcare by Allwell,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H2915,011,0,,Yes,$0.00 ,$21.30 ,$0.00 ,$21.30 ,$0.00 ,$435.00 ,1,,,3.5,4.0,4.0
Pennsylvania,York,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H2915,016,0,,,$0.00 ,($7.30),$7.30 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,4.0,4.0
Pennsylvania,York,UnitedHealthcare,Local CCP,UHC Dual Complete PA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,009,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,York,UnitedHealthcare,Local CCP,UHC Dual Complete PA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,014,0,,Yes,$0.00 ,$29.50 ,$0.00 ,$29.50 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life HMO Rx Enhanced (HMO),HMO,No,,Enhanced Alternative,H3907,006,0,,,$218.20 ,$25.50 ,$51.30 ,$76.80 ,$51.30 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3907,029,0,,,$57.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life HMO Deductible Rx (HMO),HMO,No,,Enhanced Alternative,H3907,037,0,,,$0.00 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life HMO Premier Rx (HMO),HMO,No,,Enhanced Alternative,H3907,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life HMO Rx Choice (HMO),HMO,No,,Enhanced Alternative,H3907,057,4,,,$19.50 ,$16.50 ,$0.00 ,$16.50 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Deluxe (PPO),Local PPO,No,,Enhanced Alternative,H3916,005,0,,,$179.00 ,$57.30 ,$41.70 ,$99.00 ,$58.80 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H3916,015,0,,,$83.20 ,$42.90 ,$37.90 ,$80.80 ,$40.60 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Freedom Blue PPO ValueRx (PPO),Local PPO,No,,Enhanced Alternative,H3916,018,0,,,$0.00 ,$38.60 ,$19.40 ,$58.00 ,$19.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H3916,034,3,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H3916,037,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare PPO Premier (PPO),Local PPO,No,,Enhanced Alternative,H3916,045,2,,,$0.00 ,$38.60 ,$7.40 ,$46.00 ,$7.40 ,$0.00 ,,,,4.0,4.5,4.5
Pennsylvania,York,Capital Blue Cross,Local CCP,BlueJourney Classic (PPO),Local PPO,No,,Enhanced Alternative,H3923,013,0,,,$18.20 ,$41.80 ,$0.00 ,$41.80 ,$1.60 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,BlueJourney Prime (PPO),Local PPO,No,,Enhanced Alternative,H3923,017,0,,,$127.30 ,$49.70 ,$0.00 ,$49.70 ,$9.50 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,Capital Blue Cross Select (PPO),Local PPO,No,,Enhanced Alternative,H3923,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Advantage (PPO),Local PPO,No,,Enhanced Alternative,H3923,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health AdvantagePlus (PPO),Local PPO,No,,Enhanced Alternative,H3923,030,0,,,$10.60 ,$11.40 ,$0.00 ,$11.40 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Value (PPO),Local PPO,No,,Enhanced Alternative,H3923,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Preferred Advantage Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,059,22,,,$27.10 ,$51.90 ,$0.00 ,$51.90 ,$11.70 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Preferred Enhanced Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,062,22,,,$19.20 ,$44.80 ,$0.00 ,$44.80 ,$4.60 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Preferred Complete Rx (PPO),Local PPO,No,,Enhanced Alternative,H3924,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,070,0,,,$2.70 ,$34.30 ,$0.00 ,$34.30 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,091,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Pennsylvania,York,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3949,009,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Pennsylvania,York,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H3949,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Secure Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3954,097,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Classic Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H3954,157,23,,,$84.40 ,$44.60 ,$0.00 ,$44.60 ,$4.40 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Classic Complete Rx (HMO),HMO,No,,Enhanced Alternative,H3954,158,13,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Classic 360 Rx (HMO),HMO,No,,Enhanced Alternative,H3954,160,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Classic Essential Rx (HMO),HMO,No,,Enhanced Alternative,H3954,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Geisinger Gold,Local CCP,Geisinger Gold Value Rx (HMO),HMO,No,,Enhanced Alternative,H3954,163,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Pennsylvania,York,Highmark Blue Cross Blue Shield or Highmark Blue Shield,Local CCP,Community Blue Medicare HMO Signature (HMO),HMO,No,,Enhanced Alternative,H3957,042,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,5.0,5.0
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3959,036,0,,Yes,$0.00 ,$38.30 ,$0.00 ,$38.30 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3959,039,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Longevity Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H3959,066,0,,Yes,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Pennsylvania,York,Capital Blue Cross,Local CCP,BlueJourney Premier (HMO),HMO,No,,Enhanced Alternative,H3962,001,0,,,$72.80 ,$44.20 ,$0.00 ,$44.20 ,$4.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,BlueJourney Value (HMO),HMO,No,,Enhanced Alternative,H3962,004,0,,,$19.70 ,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,BlueJourney Essential (HMO),HMO,No,,Enhanced Alternative,H3962,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,York,Capital Blue Cross,Local CCP,Capital Blue Cross | WellSpan Health Inspire (HMO),HMO,No,,Enhanced Alternative,H3962,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
Pennsylvania,York,VISTA Health Plan Inc.,Local CCP,AmeriHealth Caritas VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4227,002,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Pennsylvania,York,UPMC for Life Complete Care,Local CCP,UPMC for Life Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H4279,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Pennsylvania,York,Humana,Local CCP,Humana Value Plus H5216-117 (PPO),Local PPO,No,,Enhanced Alternative,H5216,117,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5216-120 (PPO),Local PPO,No,,Enhanced Alternative,H5216,120,0,,,$69.70 ,$53.30 ,$0.00 ,$53.30 ,$13.10 ,$0.00 ,,,,4.5,4.0,4.5
Pennsylvania,York,Humana,Local CCP,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,227,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Gold Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,122,0,,,$88.50 ,$56.50 ,$0.00 ,$56.50 ,$16.30 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,263,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Advantra Premier Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,002,0,,,$54.40 ,$12.60 ,$0.00 ,$12.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (PPO),Local PPO,No,,Enhanced Alternative,H5522,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5522,013,0,,,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H5522,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare Silver Back (PPO),Local PPO,No,,Enhanced Alternative,H5522,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Aetna Medicare,Local CCP,Aetna Medicare PinnacleHealth Prime (PPO),Local PPO,No,,Enhanced Alternative,H5522,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5525-006 (PPO),Local PPO,No,,Enhanced Alternative,H5525,006,0,,,$0.00 ,$38.00 ,$0.00 ,$38.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5525-017 (PPO),Local PPO,No,,Enhanced Alternative,H5525,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5525-051 (PPO),Local PPO,No,,Enhanced Alternative,H5525,051,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5525-058 (PPO),Local PPO,No,,Enhanced Alternative,H5525,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$505.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,York,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5525,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Pennsylvania,York,Humana,Local CCP,HumanaChoice H5525-060 (PPO),Local PPO,No,,Enhanced Alternative,H5525,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life PPO Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5533,008,0,,,$32.90 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life PPO Rx Choice (PPO),Local PPO,No,,Enhanced Alternative,H5533,009,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,York,UPMC for Life,Local CCP,UPMC for Life PPO Premier Rx (PPO),Local PPO,No,,Enhanced Alternative,H5533,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.5,5.0
Pennsylvania,York,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,001,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,York,Highmark Wholecare Medicare Assured,Local CCP,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H5932,009,0,,,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Pennsylvania,York,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Pennsylvania,York,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
Pennsylvania,York,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Puerto Rico,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2874,001,0,,,,$62.90 ,$13.00 ,$75.90 ,$75.90 ,$445.00 ,1,,Yes,Not Applicable,2.5,Not Applicable
Puerto Rico,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S2874,004,0,,,,$44.00 ,$0.00 ,$44.00 ,$44.00 ,$545.00 ,,,,Not Applicable,2.5,Not Applicable
Puerto Rico,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,348,0,Yes,,,$64.00 ,$0.00 ,$64.00 ,$64.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Puerto Rico,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,349,0,Yes,,,$59.50 ,$12.10 ,$71.60 ,$71.60 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Puerto Rico,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,385,0,Yes,,,($3.10),$15.00 ,$11.90 ,$11.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Puerto Rico,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5820,037,0,Yes,,,$74.50 ,$0.00 ,$74.50 ,$74.50 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Puerto Rico,Adjuntas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Adjuntas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Adjuntas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Adjuntas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Adjuntas,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Adjuntas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguada,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguada,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguada,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguada,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguadilla,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguadilla,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguadilla,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguadilla,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aguas Buenas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aguas Buenas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Aibonito,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Aibonito,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Aibonito,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Aibonito,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Aibonito,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Anasco,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Anasco,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Anasco,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Anasco,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arecibo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arecibo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arecibo,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arecibo,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arroyo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Arroyo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Arroyo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Arroyo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Arroyo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Arroyo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Barceloneta,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barceloneta,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barceloneta,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barceloneta,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barceloneta,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barranquitas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Barranquitas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Barranquitas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Barranquitas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Barranquitas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Barranquitas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Bayamon,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Bayamon,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Bayamon,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Bayamon,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Bayamon,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cabo Rojo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cabo Rojo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Caguas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Caguas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Caguas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Caguas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Caguas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Camuy,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Camuy,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Camuy,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Camuy,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Canovanas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Canovanas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Canovanas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Canovanas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Canovanas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Canovanas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Carolina,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Carolina,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Carolina,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Carolina,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Carolina,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Catano,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Catano,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Catano,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Catano,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Catano,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Catano,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cayey,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cayey,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cayey,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cayey,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cayey,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ceiba,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ceiba,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ceiba,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ceiba,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ceiba,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ciales,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ciales,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ciales,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ciales,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ciales,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Cidra,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Cidra,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Cidra,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Cidra,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Cidra,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Coamo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Coamo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Coamo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Coamo,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Coamo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Comerio,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Comerio,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Comerio,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Comerio,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Comerio,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Corozal,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Corozal,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Corozal,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Corozal,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Corozal,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Culebra,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Culebra,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Culebra,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Culebra,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Culebra,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Dorado,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Dorado,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Dorado,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Dorado,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Dorado,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Fajardo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Fajardo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Fajardo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Fajardo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Fajardo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Florida,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Florida,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Florida,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Florida,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Florida,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Florida,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guanica,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guanica,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guanica,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guanica,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guanica,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guayama,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayama,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayama,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayama,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayama,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guayanilla,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guayanilla,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guayanilla,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guayanilla,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guayanilla,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Guaynabo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Guaynabo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Guaynabo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Guaynabo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Guaynabo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Gurabo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Gurabo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Gurabo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Gurabo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Gurabo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hatillo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hatillo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hatillo,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hatillo,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Hormigueros,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Hormigueros,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Hormigueros,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Hormigueros,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Hormigueros,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Humacao,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Humacao,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Humacao,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Humacao,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Humacao,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Isabela,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Isabela,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Isabela,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Isabela,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Jayuya,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Jayuya,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Jayuya,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Jayuya,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Jayuya,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juana Diaz,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juana Diaz,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juana Diaz,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juana Diaz,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Juncos,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Juncos,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Juncos,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Juncos,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Juncos,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Lajas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lajas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lajas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lajas,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lajas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Lares,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Lares,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Lares,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Lares,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Lares,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Lares,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Las Marias,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Marias,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Marias,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Marias,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Marias,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Piedras,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Las Piedras,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Las Piedras,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Las Piedras,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Las Piedras,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Las Piedras,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Loiza,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Loiza,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Loiza,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Loiza,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Loiza,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Luquillo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Luquillo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Luquillo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Luquillo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Luquillo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Manati,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Manati,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Manati,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Manati,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Manati,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Manati,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Maricao,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maricao,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maricao,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maricao,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maricao,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maunabo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Maunabo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Maunabo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Maunabo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Maunabo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Maunabo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Mayaguez,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Mayaguez,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Mayaguez,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Mayaguez,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Mayaguez,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Moca,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Moca,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Moca,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Moca,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Moca,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Morovis,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Morovis,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Morovis,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Morovis,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Morovis,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Naguabo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naguabo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naguabo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naguabo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naguabo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Naranjito,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Naranjito,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Naranjito,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Naranjito,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Naranjito,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Orocovis,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Orocovis,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Orocovis,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Orocovis,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Orocovis,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Patillas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Patillas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Patillas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Patillas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Patillas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Penuelas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Penuelas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Penuelas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Penuelas,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Penuelas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Ponce,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Ponce,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Ponce,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Ponce,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Ponce,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Quebradillas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Quebradillas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Quebradillas,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Quebradillas,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rincon,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rincon,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rincon,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rincon,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rio Grande,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Rio Grande,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Rio Grande,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Rio Grande,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Rio Grande,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Rio Grande,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Sabana Grande,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Sabana Grande,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Sabana Grande,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Sabana Grande,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Salinas,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Salinas,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Salinas,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Salinas,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Salinas,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San German,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San German,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San German,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San German,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San German,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San German,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Juan,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Juan,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Juan,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Juan,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Juan,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Juan,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Lorenzo,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Lorenzo,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Lorenzo,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Lorenzo,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,San Sebastian,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,San Sebastian,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,San Sebastian,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,San Sebastian,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Santa Isabel,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Santa Isabel,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Santa Isabel,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Santa Isabel,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Toa Alta,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Alta,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Alta,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Alta,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Alta,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Toa Baja,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Toa Baja,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Toa Baja,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Toa Baja,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Toa Baja,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Trujillo Alto,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Metro (HMO),HMO,No,,Enhanced Alternative,H5577,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Trujillo Alto,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Encanto (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Medicare y Mucho Mas,Local CCP,MMM Dorado Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Utuado,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Utuado,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Utuado,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Utuado,Triple S Advantage,Local CCP,Platino Selecto (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vega Alta,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Alta,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Alta,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Alta,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Alta,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vega Baja,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vega Baja,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vega Baja,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vega Baja,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vega Baja,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Vieques,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Vieques,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Vieques,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Vieques,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Vieques,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Villalba,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Villalba,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Villalba,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Platino Del Sur (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Villalba,MCS Classicare,Local CCP,MCS Classicare Del Caribe (HMO),HMO,No,,Enhanced Alternative,H5577,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Villalba,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Yabucoa,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yabucoa,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yabucoa,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yabucoa,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yabucoa,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Humana,Local CCP,HumanaChoice Value H2029-001 (PPO),Local PPO,No,,Enhanced Alternative,H2029,001,0,,,$0.70 ,$43.30 ,$0.00 ,$43.30 ,$43.30 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Supremo (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Diamante Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Unico (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,019,0,,,$15.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Valor Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4003,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.0
Puerto Rico,Yauco,Medicare y Mucho Mas,Local CCP,MMM Deluxe (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4003,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,PMC Premier Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,PMC Max (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,MMM Relax Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,MMM Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,063,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,MMM Plenitud (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,065,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,MMM Valioso (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4004,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Puerto Rico,Yauco,PMC Medicare Choice,Local CCP,MMM Plus Platino (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4004,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Puerto Rico,Yauco,Triple-S Advantage,Local CCP,�ptimo Plus (PPO),Local PPO,No,,Enhanced Alternative,H4005,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,Triple-S Advantage,Local CCP,Optimo Xtra (PPO),Local PPO,No,,Enhanced Alternative,H4005,007,0,,,$6.50 ,$17.80 ,$5.70 ,$23.50 ,$23.50 ,$0.00 ,,,Yes,4.0,5.0,4.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-012 (HMO),HMO,No,,Enhanced Alternative,H4007,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-020 (HMO),HMO,No,,Enhanced Alternative,H4007,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-021 (HMO),HMO,No,,Enhanced Alternative,H4007,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-024 (HMO),HMO,No,,Enhanced Alternative,H4007,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-025 (HMO),HMO,No,,Enhanced Alternative,H4007,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4007,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus H4007-029 (HMO),HMO,No,,Enhanced Alternative,H4007,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,Humana,Local CCP,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4007,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Platino Ideal (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Efectivo (HMO),HMO,No,,Enhanced Alternative,H5577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Essential (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Platino Progreso (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Platino MasCa$h (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Primero (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5577,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Firme (HMO),HMO,No,,Enhanced Alternative,H5577,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare En Tu Hogar (HMO),HMO,No,,Enhanced Alternative,H5577,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Hero (HMO),HMO,No,,Enhanced Alternative,H5577,044,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Platino Total (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare InteliCare (HMO),HMO,No,,Enhanced Alternative,H5577,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Exacto (HMO),HMO,No,,Enhanced Alternative,H5577,053,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Platino Maximo (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5577,054,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,5.0
Puerto Rico,Yauco,MCS Classicare,Local CCP,MCS Classicare Excede (HMO),HMO,No,,Enhanced Alternative,H5577,056,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,5.0
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Real (HMO),HMO,No,,Enhanced Alternative,H5774,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Contigo Plus (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5774,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Platino Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Platino Advance (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Magno (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Platino Blindao (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Brillante (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5774,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Platino Enlace (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Platino Titan (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5774,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,AhorroMax (HMO),HMO,No,,Enhanced Alternative,H5774,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Puerto Rico,Yauco,Triple S Advantage,Local CCP,Enlace Plus (HMO),HMO,No,,Enhanced Alternative,H5774,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S2893,001,0,,,,$53.40 ,$0.00 ,$53.40 ,$9.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Rhode Island,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2893,003,0,,,,$113.10 ,$42.70 ,$155.80 ,$112.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Rhode Island,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,076,0,Yes,Yes,,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Rhode Island,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,137,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Rhode Island,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,205,0,Yes,,,$35.80 ,$43.00 ,$78.80 ,$43.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Rhode Island,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,004,0,Yes,,,$50.90 ,$0.00 ,$50.90 ,$7.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,005,0,Yes,,,$53.50 ,$57.00 ,$110.50 ,$67.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,177,0,Yes,,,$13.30 ,$2.40 ,$15.70 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,008,0,Yes,,,$54.30 ,$0.00 ,$54.30 ,$10.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,247,0,Yes,,,$78.70 ,$11.90 ,$90.60 ,$47.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,352,0,Yes,,,$3.80 ,$18.10 ,$21.90 ,$18.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,002,0,Yes,,,$81.10 ,$29.10 ,$110.20 ,$66.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Rhode Island,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,102,0,Yes,,,$67.50 ,$0.00 ,$67.50 ,$24.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Rhode Island,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,149,0,Yes,,,$86.00 ,$22.40 ,$108.40 ,$64.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Rhode Island,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,182,0,Yes,,,$49.90 ,$4.70 ,$54.60 ,$11.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Rhode Island,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,348,0,Yes,Yes,,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,385,0,Yes,,,$67.10 ,$5.40 ,$72.50 ,$29.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Rhode Island,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,002,0,,,,$110.80 ,$0.00 ,$110.80 ,$67.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Rhode Island,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,072,0,,,,$92.40 ,$10.00 ,$102.40 ,$58.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Rhode Island,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,105,0,,,,$2.40 ,$25.50 ,$27.90 ,$25.50 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Rhode Island,Bristol,UnitedHealthcare,Local CCP,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,035,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Rhode Island,Bristol,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0764,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Bristol,CCA Health Rhode Island,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0876,001,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,014,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Bristol,UnitedHealthcare,Local CCP,UHC Dual Complete RI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2272,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Bristol,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Rhode Island,Bristol,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,010,0,,Yes,$0.00 ,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,HealthMate for Medicare (PPO),Local PPO,No,,Enhanced Alternative,H3557,001,0,,,$57.40 ,$40.60 ,$45.00 ,$85.60 ,$45.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H4152,005,0,,,$48.70 ,$38.10 ,$43.20 ,$81.30 ,$43.20 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,007,0,,,$157.70 ,$35.80 ,$43.50 ,$79.30 ,$43.50 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Standard with Drugs (HMO),HMO,No,,Enhanced Alternative,H4152,013,0,,,$0.00 ,$30.20 ,$24.80 ,$55.00 ,$24.80 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Extra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,018,0,,,$20.60 ,$35.70 ,$48.70 ,$84.40 ,$48.70 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueRI for Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4152,021,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Rhode Island,Bristol,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4699,001,0,,,$0.00 ,($0.50),$0.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Rhode Island,Bristol,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Bristol,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,005,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Rhode Island,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,449,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Rhode Island,Bristol,Humana,Local CCP,HumanaChoice H5525-061 (PPO),Local PPO,No,,Enhanced Alternative,H5525,061,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Bristol,Humana,Local CCP,HumanaChoice H5525-062 (PPO),Local PPO,No,,Enhanced Alternative,H5525,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Rhode Island,Bristol,Humana,Local CCP,HumanaChoice H5525-063 (PPO),Local PPO,No,,Enhanced Alternative,H5525,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Bristol,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Bristol,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Rhode Island,Bristol,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9258,001,0,,,$0.00 ,($4.60),$4.60 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Rhode Island,Bristol,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Demo,Neighborhood INTEGRITY (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9576,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Rhode Island,Bristol,CCA Health Rhode Island,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Bristol,CCA Health Rhode Island,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9876,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Bristol,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,035,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,050,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0764,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Kent,CCA Health Rhode Island,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0876,001,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,014,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete RI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2272,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Rhode Island,Kent,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,010,0,,Yes,$0.00 ,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,HealthMate for Medicare (PPO),Local PPO,No,,Enhanced Alternative,H3557,001,0,,,$57.40 ,$40.60 ,$45.00 ,$85.60 ,$45.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H4152,005,0,,,$48.70 ,$38.10 ,$43.20 ,$81.30 ,$43.20 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,007,0,,,$157.70 ,$35.80 ,$43.50 ,$79.30 ,$43.50 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Standard with Drugs (HMO),HMO,No,,Enhanced Alternative,H4152,013,0,,,$0.00 ,$30.20 ,$24.80 ,$55.00 ,$24.80 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Extra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,018,0,,,$20.60 ,$35.70 ,$48.70 ,$84.40 ,$48.70 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueRI for Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4152,021,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Rhode Island,Kent,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4699,001,0,,,$0.00 ,($0.50),$0.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Rhode Island,Kent,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Kent,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,005,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Kent,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Rhode Island,Kent,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,449,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Rhode Island,Kent,Humana,Local CCP,HumanaChoice H5525-061 (PPO),Local PPO,No,,Enhanced Alternative,H5525,061,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Kent,Humana,Local CCP,HumanaChoice H5525-062 (PPO),Local PPO,No,,Enhanced Alternative,H5525,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Rhode Island,Kent,Humana,Local CCP,HumanaChoice H5525-063 (PPO),Local PPO,No,,Enhanced Alternative,H5525,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Kent,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Kent,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Rhode Island,Kent,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9258,001,0,,,$0.00 ,($4.60),$4.60 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Rhode Island,Kent,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Demo,Neighborhood INTEGRITY (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9576,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Rhode Island,Kent,CCA Health Rhode Island,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Kent,CCA Health Rhode Island,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9876,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Kent,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Rhode Island,Newport,UnitedHealthcare,Local CCP,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,035,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Rhode Island,Newport,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0764,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Newport,CCA Health Rhode Island,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0876,001,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Newport,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,014,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Newport,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Newport,UnitedHealthcare,Local CCP,UHC Dual Complete RI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2272,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Newport,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Rhode Island,Newport,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,010,0,,Yes,$0.00 ,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,HealthMate for Medicare (PPO),Local PPO,No,,Enhanced Alternative,H3557,001,0,,,$57.40 ,$40.60 ,$45.00 ,$85.60 ,$45.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H4152,005,0,,,$48.70 ,$38.10 ,$43.20 ,$81.30 ,$43.20 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,007,0,,,$157.70 ,$35.80 ,$43.50 ,$79.30 ,$43.50 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Standard with Drugs (HMO),HMO,No,,Enhanced Alternative,H4152,013,0,,,$0.00 ,$30.20 ,$24.80 ,$55.00 ,$24.80 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Extra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,018,0,,,$20.60 ,$35.70 ,$48.70 ,$84.40 ,$48.70 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueRI for Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4152,021,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Rhode Island,Newport,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4699,001,0,,,$0.00 ,($0.50),$0.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Rhode Island,Newport,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Newport,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,005,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Newport,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Rhode Island,Newport,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,449,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Rhode Island,Newport,Humana,Local CCP,HumanaChoice H5525-061 (PPO),Local PPO,No,,Enhanced Alternative,H5525,061,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$545.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Newport,Humana,Local CCP,HumanaChoice H5525-062 (PPO),Local PPO,No,,Enhanced Alternative,H5525,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Rhode Island,Newport,Humana,Local CCP,HumanaChoice H5525-063 (PPO),Local PPO,No,,Enhanced Alternative,H5525,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.0,3.5,4.0
Rhode Island,Newport,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Newport,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Rhode Island,Newport,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9258,001,0,,,$0.00 ,($4.60),$4.60 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Rhode Island,Newport,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Demo,Neighborhood INTEGRITY (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9576,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Rhode Island,Newport,CCA Health Rhode Island,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Newport,CCA Health Rhode Island,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9876,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Newport,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,035,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,050,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0764,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Providence,CCA Health Rhode Island,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0876,001,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Providence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,014,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Providence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Dual Complete RI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2272,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Rhode Island,Providence,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,010,0,,Yes,$0.00 ,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,HealthMate for Medicare (PPO),Local PPO,No,,Enhanced Alternative,H3557,001,0,,,$57.40 ,$40.60 ,$45.00 ,$85.60 ,$45.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H4152,005,0,,,$48.70 ,$38.10 ,$43.20 ,$81.30 ,$43.20 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,007,0,,,$157.70 ,$35.80 ,$43.50 ,$79.30 ,$43.50 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Standard with Drugs (HMO),HMO,No,,Enhanced Alternative,H4152,013,0,,,$0.00 ,$30.20 ,$24.80 ,$55.00 ,$24.80 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Extra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,018,0,,,$20.60 ,$35.70 ,$48.70 ,$84.40 ,$48.70 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueRI for Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4152,021,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Rhode Island,Providence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4699,001,0,,,$0.00 ,($0.50),$0.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Rhode Island,Providence,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Providence,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,005,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Providence,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Rhode Island,Providence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,449,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Rhode Island,Providence,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Providence,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Providence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Rhode Island,Providence,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9258,001,0,,,$0.00 ,($4.60),$4.60 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Rhode Island,Providence,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Demo,Neighborhood INTEGRITY (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9576,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Rhode Island,Providence,CCA Health Rhode Island,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Providence,CCA Health Rhode Island,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9876,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Providence,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,035,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,050,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0764,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Washington,CCA Health Rhode Island,Local CCP,CCA Medicare Maximum (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H0876,001,0,,,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,014,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete RI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H2272,001,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H2406,031,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H2406,049,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$200.00 ,1,,Yes,4.0,4.5,4.0
Rhode Island,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete RI-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3113,010,0,,Yes,$0.00 ,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,HealthMate for Medicare (PPO),Local PPO,No,,Enhanced Alternative,H3557,001,0,,,$57.40 ,$40.60 ,$45.00 ,$85.60 ,$45.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H4152,005,0,,,$48.70 ,$38.10 ,$43.20 ,$81.30 ,$43.20 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Preferred (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,007,0,,,$157.70 ,$35.80 ,$43.50 ,$79.30 ,$43.50 ,$0.00 ,,,Yes,4.5,5.0,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Standard with Drugs (HMO),HMO,No,,Enhanced Alternative,H4152,013,0,,,$0.00 ,$30.20 ,$24.80 ,$55.00 ,$24.80 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Extra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,018,0,,,$20.60 ,$35.70 ,$48.70 ,$84.40 ,$48.70 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueCHiP for Medicare Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4152,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,5.0,4.5
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,Local CCP,BlueRI for Duals (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4152,021,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.5,5.0,4.5
Rhode Island,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H4699,001,0,,,$0.00 ,($0.50),$0.50 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,2.5,2.5
Rhode Island,Washington,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,003,0,,Yes,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Washington,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4699,005,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Rhode Island,Washington,Aetna Medicare,Local CCP,Aetna Medicare Explorer Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,375,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Rhode Island,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,449,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Rhode Island,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5793,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Rhode Island,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC RI-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Rhode Island,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H9258,001,0,,,$0.00 ,($4.60),$4.60 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
Rhode Island,Washington,NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND,Demo,Neighborhood INTEGRITY (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H9576,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Rhode Island,Washington,CCA Health Rhode Island,Local CCP,CCA Medicare Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9876,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Washington,CCA Health Rhode Island,Local CCP,CCA Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H9876,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$545.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
Rhode Island,Washington,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
South Carolina,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,070,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
South Carolina,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,144,0,Yes,,,($18.10),$18.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
South Carolina,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,212,0,Yes,,,$33.20 ,$45.70 ,$78.90 ,$45.70 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
South Carolina,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,018,0,Yes,,,$53.20 ,$0.00 ,$53.20 ,$7.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,019,0,Yes,,,$48.00 ,$58.40 ,$106.40 ,$60.70 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,184,0,Yes,,,$11.00 ,$2.40 ,$13.40 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,218,0,Yes,,,$69.50 ,$0.00 ,$69.50 ,$23.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,254,0,Yes,,,$83.80 ,$12.90 ,$96.70 ,$51.00 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,359,0,Yes,,,$4.10 ,$16.20 ,$20.30 ,$16.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,008,0,Yes,,,$73.00 ,$33.10 ,$106.10 ,$60.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
South Carolina,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,134,0,Yes,,,$61.60 ,$0.00 ,$61.60 ,$15.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
South Carolina,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,155,0,Yes,,,$94.60 ,$22.30 ,$116.90 ,$71.20 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
South Carolina,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,188,0,Yes,,,$41.40 ,$6.70 ,$48.10 ,$6.70 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
South Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,354,0,Yes,,,$78.80 ,$0.00 ,$78.80 ,$33.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,391,0,Yes,,,$47.80 ,$6.40 ,$54.20 ,$8.50 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Blue Cross Blue Shield of South Carolina,PDP,BlueCross Rx Value (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5953,001,0,,,,$117.40 ,$0.00 ,$117.40 ,$71.70 ,$480.00 ,1,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Blue Cross Blue Shield of South Carolina,PDP,BlueCross Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5953,002,0,,,,$80.10 ,$77.30 ,$157.40 ,$111.70 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Blue Cross Blue Shield of South Carolina,PDP,BlueCross Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5953,004,0,,,,$71.50 ,$5.50 ,$77.00 ,$31.30 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
South Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,008,0,,Yes,,$42.60 ,$0.00 ,$42.60 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
South Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,078,0,,,,$63.90 ,$14.70 ,$78.60 ,$32.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
South Carolina,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,111,0,,,,($3.10),$28.20 ,$25.10 ,$25.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
South Carolina,Abbeville,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Abbeville,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Abbeville,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Abbeville,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Abbeville,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Abbeville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Abbeville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Abbeville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Abbeville,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Abbeville,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Abbeville,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Abbeville,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Abbeville,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Abbeville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Abbeville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Abbeville,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Abbeville,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Abbeville,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Abbeville,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Abbeville,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Abbeville,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Abbeville,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Abbeville,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Abbeville,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Abbeville,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Abbeville,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Abbeville,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Abbeville,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Abbeville,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Abbeville,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Abbeville,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Abbeville,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Abbeville,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Abbeville,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Aiken,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Aiken,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Aiken,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Aiken,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Aiken,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Aiken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Aiken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Aiken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Aiken,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Aiken,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Aiken,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Aiken,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Aiken,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Aiken,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Aiken,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Aiken,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Aiken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Aiken,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Aiken,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Aiken,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Aiken,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Aiken,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Aiken,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Aiken,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Aiken,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Aiken,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Aiken,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Aiken,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Aiken,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Aiken,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Aiken,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Aiken,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Aiken,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Aiken,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Aiken,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Aiken,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Aiken,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Aiken,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Allendale,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Allendale,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Allendale,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Allendale,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Allendale,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Allendale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Allendale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Allendale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Allendale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Allendale,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Allendale,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Allendale,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Allendale,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Allendale,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Allendale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Allendale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Allendale,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Allendale,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Allendale,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Allendale,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Allendale,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Allendale,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Allendale,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Allendale,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Allendale,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Allendale,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Allendale,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Allendale,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Allendale,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Allendale,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Allendale,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Allendale,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Anderson,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Anderson,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Anderson,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Anderson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Anderson,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Anderson,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Anderson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Anderson,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Anderson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Anderson,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Anderson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Anderson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Anderson,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Anderson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Anderson,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Anderson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Anderson,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Anderson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Anderson,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Anderson,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Anderson,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Anderson,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Anderson,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Anderson,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Anderson,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Anderson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Anderson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Anderson,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Anderson,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Anderson,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Bamberg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Bamberg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Bamberg,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Bamberg,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Bamberg,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Bamberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Bamberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Bamberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Bamberg,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Bamberg,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Bamberg,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Bamberg,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Bamberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Bamberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Bamberg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Bamberg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Bamberg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Bamberg,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Bamberg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Bamberg,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Bamberg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Bamberg,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Bamberg,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Bamberg,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Bamberg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Bamberg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Bamberg,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Bamberg,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Bamberg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Bamberg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Bamberg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Bamberg,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Bamberg,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Barnwell,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Barnwell,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Barnwell,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Barnwell,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Barnwell,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Barnwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Barnwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Barnwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Barnwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Barnwell,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Barnwell,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Barnwell,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Barnwell,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Barnwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Barnwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Barnwell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Barnwell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Barnwell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Barnwell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Barnwell,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Barnwell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Barnwell,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Barnwell,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Barnwell,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Barnwell,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Barnwell,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Barnwell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Barnwell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Barnwell,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Barnwell,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Barnwell,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Beaufort,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Beaufort,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Beaufort,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Beaufort,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Beaufort,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Beaufort,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Beaufort,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Beaufort,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Beaufort,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Beaufort,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Beaufort,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Beaufort,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Beaufort,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,003,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Beaufort,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Beaufort,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Beaufort,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Beaufort,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Beaufort,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Beaufort,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Beaufort,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Beaufort,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Beaufort,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Beaufort,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Beaufort,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Beaufort,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Berkeley,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Berkeley,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Berkeley,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Berkeley,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Berkeley,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Berkeley,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Berkeley,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Berkeley,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Berkeley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Berkeley,Humana,Local CCP,Humana Gold Plus H5619-083 (HMO),HMO,No,,Enhanced Alternative,H5619,083,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$245.00 ,1,,,4.0,3.5,4.0
South Carolina,Berkeley,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Berkeley,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Berkeley,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Berkeley,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Berkeley,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Berkeley,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Berkeley,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Berkeley,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Berkeley,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Berkeley,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,003,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Berkeley,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Berkeley,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Berkeley,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Berkeley,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Berkeley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Berkeley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Berkeley,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Berkeley,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Berkeley,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Calhoun,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Calhoun,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Calhoun,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Calhoun,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Calhoun,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Calhoun,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Calhoun,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Calhoun,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Calhoun,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Calhoun,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Calhoun,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Calhoun,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Calhoun,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Calhoun,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Calhoun,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Calhoun,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Calhoun,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Calhoun,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Charleston,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Charleston,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Charleston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Charleston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Charleston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Charleston,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Charleston,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Charleston,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Charleston,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Charleston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Charleston,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Charleston,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Charleston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Charleston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Charleston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Charleston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Charleston,Humana,Local CCP,Humana Gold Plus H5619-083 (HMO),HMO,No,,Enhanced Alternative,H5619,083,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$245.00 ,1,,,4.0,3.5,4.0
South Carolina,Charleston,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Charleston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Charleston,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Charleston,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Charleston,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Charleston,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Charleston,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Charleston,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Charleston,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Charleston,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Charleston,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Charleston,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,003,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Charleston,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Charleston,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Charleston,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Charleston,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Charleston,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Charleston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Charleston,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Charleston,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Charleston,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Charleston,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Cherokee,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Cherokee,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Cherokee,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Cherokee,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Cherokee,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Cherokee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Cherokee,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Cherokee,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Cherokee,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Cherokee,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Cherokee,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Cherokee,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Cherokee,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Cherokee,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Cherokee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Cherokee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Cherokee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Chester,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Chester,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chester,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chester,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Chester,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chester,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Chester,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Chester,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Chester,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Chester,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Chester,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Chester,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Chester,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Chester,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Chester,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Chester,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Chester,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Chester,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Chester,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Chester,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Chester,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Chester,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chester,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chester,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chester,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chester,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Chester,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Chester,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Chester,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Chester,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Chesterfield,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chesterfield,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Chesterfield,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chesterfield,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Chesterfield,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Chesterfield,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Chesterfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Chesterfield,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Chesterfield,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Chesterfield,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Chesterfield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Chesterfield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Chesterfield,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Chesterfield,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Chesterfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Chesterfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Chesterfield,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Chesterfield,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Clarendon,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Clarendon,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Clarendon,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Clarendon,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Clarendon,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Clarendon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Clarendon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Clarendon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Clarendon,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Clarendon,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Clarendon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Clarendon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Clarendon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Clarendon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Clarendon,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Clarendon,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Clarendon,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Clarendon,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Clarendon,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Clarendon,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Clarendon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Clarendon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Clarendon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Clarendon,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Clarendon,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Colleton,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Colleton,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Colleton,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Colleton,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Colleton,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Colleton,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Colleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Colleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Colleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Colleton,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Colleton,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Colleton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Colleton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Colleton,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Colleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Colleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Colleton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Colleton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Colleton,Humana,Local CCP,Humana Gold Plus H5619-083 (HMO),HMO,No,,Enhanced Alternative,H5619,083,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$245.00 ,1,,,4.0,3.5,4.0
South Carolina,Colleton,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Colleton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Colleton,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Colleton,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Colleton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Colleton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Colleton,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Colleton,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Colleton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Colleton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Colleton,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Colleton,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Colleton,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Colleton,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Colleton,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Colleton,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Colleton,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Colleton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Colleton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Colleton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Colleton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Colleton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Darlington,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Darlington,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Darlington,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Darlington,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Darlington,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Darlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Darlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Darlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Darlington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Darlington,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Darlington,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Darlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Darlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Darlington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Darlington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Darlington,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Darlington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Darlington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Darlington,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Darlington,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Darlington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Darlington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Darlington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Darlington,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Darlington,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Dillon,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Dillon,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Dillon,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Dillon,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dillon,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dillon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Dillon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Dillon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Dillon,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Dillon,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Dillon,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dillon,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dillon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dillon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dillon,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Dillon,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Dillon,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Dillon,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Dillon,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Dillon,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Dillon,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dillon,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Dillon,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Dillon,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Dillon,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dillon,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Dillon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Dillon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Dillon,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Dillon,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Dillon,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Dorchester,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Dorchester,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Dorchester,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Dorchester,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dorchester,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dorchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Dorchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Dorchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Dorchester,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Dorchester,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Dorchester,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dorchester,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Dorchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dorchester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Dorchester,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Dorchester,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Dorchester,Humana,Local CCP,Humana Gold Plus H5619-083 (HMO),HMO,No,,Enhanced Alternative,H5619,083,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$245.00 ,1,,,4.0,3.5,4.0
South Carolina,Dorchester,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Dorchester,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Dorchester,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Dorchester,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Dorchester,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Dorchester,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Dorchester,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Dorchester,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Dorchester,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Dorchester,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Dorchester,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,003,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Dorchester,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Dorchester,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Dorchester,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Dorchester,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Dorchester,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Dorchester,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Dorchester,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Dorchester,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Dorchester,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Edgefield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Edgefield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Edgefield,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Edgefield,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Edgefield,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Edgefield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Edgefield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Edgefield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Edgefield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Edgefield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Edgefield,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Edgefield,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,2,,,$0.00 ,$7.00 ,$0.00 ,$7.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Edgefield,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Edgefield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Edgefield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Edgefield,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Edgefield,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Edgefield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Edgefield,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Edgefield,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Edgefield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Edgefield,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Edgefield,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Edgefield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Edgefield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Edgefield,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Edgefield,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Edgefield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Edgefield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Edgefield,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Edgefield,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Fairfield,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Fairfield,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Fairfield,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Fairfield,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Fairfield,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Fairfield,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Fairfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Fairfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Fairfield,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Fairfield,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Fairfield,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Fairfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Fairfield,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Fairfield,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Fairfield,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Fairfield,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Fairfield,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Fairfield,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Fairfield,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Fairfield,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Fairfield,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Fairfield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Fairfield,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Fairfield,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Fairfield,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Fairfield,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Fairfield,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Fairfield,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Fairfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Fairfield,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Fairfield,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Fairfield,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Florence,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Florence,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Florence,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Florence,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Florence,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Florence,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Florence,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Florence,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Florence,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Florence,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Florence,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Florence,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Florence,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Florence,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Florence,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Florence,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Florence,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Florence,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Florence,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Florence,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Florence,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Florence,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Florence,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Florence,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Florence,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Florence,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Florence,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Florence,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Florence,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Georgetown,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Georgetown,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Georgetown,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Georgetown,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Georgetown,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Georgetown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Georgetown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Georgetown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Georgetown,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Georgetown,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Georgetown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Georgetown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Georgetown,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Georgetown,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Georgetown,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Georgetown,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Georgetown,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Georgetown,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Georgetown,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,003,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Georgetown,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Georgetown,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Georgetown,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Georgetown,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Georgetown,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Georgetown,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Georgetown,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Georgetown,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Georgetown,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Greenville,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Greenville,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenville,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Greenville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Greenville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Greenville,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenville,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Greenville,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Greenville,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Greenville,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Greenville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Greenville,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Greenville,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenville,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Greenville,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenville,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Greenville,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Greenville,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Greenville,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Greenville,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenville,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenville,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Secure (HMO),HMO,No,,Enhanced Alternative,H7165,001,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$500.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Greenville,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Greenville,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Greenville,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Greenville,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Greenville,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Greenville,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Greenville,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Greenville,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Greenville,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenville,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenville,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Greenville,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Greenville,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Greenville,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Greenville,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Greenwood,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Greenwood,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Greenwood,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Greenwood,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenwood,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Greenwood,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenwood,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Greenwood,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Greenwood,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenwood,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Greenwood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Greenwood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Greenwood,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Greenwood,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Greenwood,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Greenwood,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenwood,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Greenwood,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Greenwood,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Greenwood,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Greenwood,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Greenwood,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Greenwood,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Greenwood,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Greenwood,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Greenwood,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Hampton,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Hampton,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Hampton,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Hampton,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Hampton,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Hampton,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Hampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Hampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Hampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Hampton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Hampton,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Hampton,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Hampton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Hampton,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Hampton,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Hampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Hampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Hampton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Hampton,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Hampton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Hampton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Hampton,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Hampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Hampton,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Hampton,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Hampton,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Hampton,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Hampton,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Hampton,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Hampton,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Hampton,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Hampton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Hampton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Hampton,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Hampton,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Hampton,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Horry,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Horry,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Horry,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Horry,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Horry,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Horry,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Horry,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Horry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Horry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Horry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Horry,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Horry,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Horry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Horry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Horry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Horry,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Horry,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Horry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Horry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Horry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Horry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Horry,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Horry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Horry,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Horry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Horry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Horry,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Horry,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Horry,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Horry,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Horry,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Horry,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Horry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Horry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Horry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Horry,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Horry,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Jasper,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Jasper,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Jasper,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Jasper,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Jasper,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Jasper,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Jasper,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Jasper,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Jasper,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Jasper,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Jasper,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Jasper,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Jasper,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Jasper,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Jasper,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Jasper,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Jasper,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Jasper,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Jasper,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Jasper,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Kershaw,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Kershaw,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Kershaw,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Kershaw,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Kershaw,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Kershaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Kershaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Kershaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Kershaw,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Kershaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Kershaw,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Kershaw,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Kershaw,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Kershaw,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Kershaw,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Kershaw,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Kershaw,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Kershaw,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Kershaw,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Kershaw,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Kershaw,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Kershaw,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Kershaw,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Kershaw,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Kershaw,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Kershaw,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Kershaw,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Kershaw,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Kershaw,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Kershaw,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Kershaw,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Kershaw,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lancaster,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Lancaster,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lancaster,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Lancaster,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Lancaster,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lancaster,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Lancaster,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lancaster,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Lancaster,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Lancaster,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Lancaster,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Lancaster,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Lancaster,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Lancaster,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Lancaster,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Lancaster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Lancaster,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Lancaster,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Lancaster,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Lancaster,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Laurens,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Laurens,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Laurens,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Laurens,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Laurens,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Laurens,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Laurens,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Laurens,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Laurens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Laurens,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Laurens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Laurens,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Laurens,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Laurens,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Laurens,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Laurens,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Laurens,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Laurens,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Laurens,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Laurens,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Laurens,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Laurens,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Laurens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Laurens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Laurens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Laurens,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Laurens,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lee,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Lee,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lee,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lee,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lee,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Lee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Lee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Lee,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Lee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lee,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Lee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lee,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Lee,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Lee,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Lee,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Lee,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Lee,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lee,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lee,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lee,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Lee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Lee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Lexington,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lexington,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lexington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lexington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Lexington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lexington,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Lexington,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Lexington,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Lexington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lexington,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Lexington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lexington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Lexington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Lexington,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Lexington,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Lexington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Lexington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Lexington,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Lexington,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Lexington,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Lexington,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Lexington,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Lexington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Lexington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Lexington,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Lexington,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Lexington,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Marion,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Marion,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marion,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marion,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Marion,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Marion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Marion,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marion,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marion,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marion,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Marion,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Marion,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Marion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Marion,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Marion,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Marion,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marion,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Marion,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Marion,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Marion,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Marion,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Marion,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Marlboro,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Marlboro,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Marlboro,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Marlboro,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marlboro,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marlboro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Marlboro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Marlboro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marlboro,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marlboro,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Marlboro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marlboro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Marlboro,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Marlboro,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Marlboro,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Marlboro,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Marlboro,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Marlboro,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Marlboro,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Marlboro,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Marlboro,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Marlboro,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Marlboro,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Marlboro,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Marlboro,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Marlboro,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Marlboro,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Marlboro,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,McCormick,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,McCormick,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,McCormick,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,McCormick,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,McCormick,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,McCormick,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,McCormick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,McCormick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,McCormick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,McCormick,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,McCormick,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,McCormick,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,McCormick,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,McCormick,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,McCormick,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,McCormick,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,McCormick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,McCormick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,McCormick,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,McCormick,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,McCormick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,McCormick,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,McCormick,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,McCormick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,McCormick,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,McCormick,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,McCormick,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,McCormick,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,McCormick,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,McCormick,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,McCormick,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,McCormick,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,McCormick,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,McCormick,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,McCormick,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,McCormick,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Newberry,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Newberry,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Newberry,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Newberry,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Newberry,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Newberry,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Newberry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Newberry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Newberry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Newberry,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Newberry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Newberry,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Newberry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Newberry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Newberry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Newberry,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Newberry,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Newberry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Newberry,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Newberry,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Newberry,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Newberry,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Newberry,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Newberry,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Newberry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Newberry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Newberry,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Newberry,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Newberry,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Oconee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Oconee,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Oconee,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Oconee,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Oconee,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Oconee,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Oconee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Oconee,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Oconee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Oconee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Oconee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Oconee,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Oconee,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Oconee,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Oconee,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Oconee,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Oconee,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Oconee,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Oconee,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Oconee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Oconee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Oconee,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Oconee,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Oconee,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Orangeburg,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Orangeburg,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Orangeburg,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Orangeburg,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Orangeburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Orangeburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Orangeburg,Humana,Local CCP,HumanaChoice H5525-024 (PPO),Local PPO,No,,Enhanced Alternative,H5525,024,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$295.00 ,1,,,4.0,3.5,4.0
South Carolina,Orangeburg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Orangeburg,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Orangeburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Orangeburg,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Orangeburg,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Orangeburg,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Orangeburg,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Orangeburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Orangeburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Orangeburg,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Orangeburg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Orangeburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Orangeburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Orangeburg,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Orangeburg,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Pickens,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Pickens,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Pickens,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Pickens,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Pickens,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Pickens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Pickens,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Pickens,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Pickens,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Pickens,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Pickens,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Pickens,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Pickens,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Pickens,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Pickens,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Pickens,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Pickens,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Pickens,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Pickens,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Pickens,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Pickens,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Pickens,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Pickens,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Pickens,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Pickens,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Pickens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Pickens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Pickens,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Pickens,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Pickens,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Richland,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Richland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Richland,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Richland,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Richland,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Richland,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Richland,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Richland,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Richland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Richland,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Richland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Richland,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Richland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Richland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Richland,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Richland,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Richland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Richland,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,Richland,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Secure (HMO),HMO,No,,Enhanced Alternative,H7165,002,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$500.00 ,1,,Yes,Not enough data available,Not enough data available,Not enough data available
South Carolina,Richland,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Richland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Richland,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Richland,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Richland,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Richland,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Richland,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Richland,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Richland,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Richland,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Richland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Richland,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Richland,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Richland,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Richland,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Saluda,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Saluda,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Saluda,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Saluda,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Saluda,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Saluda,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Saluda,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Saluda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Saluda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Saluda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Saluda,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Saluda,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Saluda,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Saluda,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-142 (PPO),Local PPO,No,,Enhanced Alternative,H5216,142,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Saluda,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Saluda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Saluda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Saluda,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Saluda,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Saluda,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Saluda,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Saluda,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Saluda,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Saluda,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Saluda,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Saluda,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Saluda,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Saluda,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Saluda,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Saluda,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Saluda,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Saluda,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Saluda,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Saluda,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Saluda,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Saluda,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Saluda,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Spartanburg,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Spartanburg,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Spartanburg,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Spartanburg,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Spartanburg,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Spartanburg,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Spartanburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Spartanburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Spartanburg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Spartanburg,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Spartanburg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,153,0,,Yes,$0.00 ,$42.80 ,$0.00 ,$42.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Spartanburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Spartanburg,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Spartanburg,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Spartanburg,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Spartanburg,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Spartanburg,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Spartanburg,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Spartanburg,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Spartanburg,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Spartanburg,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Spartanburg,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Spartanburg,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,Spartanburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Spartanburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Spartanburg,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Spartanburg,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Spartanburg,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Spartanburg,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Spartanburg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Spartanburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Spartanburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Spartanburg,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Spartanburg,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Sumter,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Sumter,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Sumter,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,Sumter,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Sumter,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3146,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Sumter,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Sumter,NHC Advantage,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,003,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,Sumter,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Sumter,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Sumter,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Sumter,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Sumter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Sumter,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Sumter,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Sumter,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Sumter,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Sumter,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Sumter,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,002,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Sumter,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,Sumter,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Sumter,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Sumter,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Sumter,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Sumter,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Sumter,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Sumter,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Sumter,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Union,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Union,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Union,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Union,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,036,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
South Carolina,Union,Wellcare,Local CCP,Wellcare No Premium Value (HMO),HMO,No,,Enhanced Alternative,H1416,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
South Carolina,Union,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Union,Clear Spring Health,Local CCP,Clear Spring Health Gold Plus (PPO),Local PPO,No,,Enhanced Alternative,H2334,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Union,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Union,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Union,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Union,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Union,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Union,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,Union,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,245,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Union,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Union,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Union,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Union,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Union,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Union,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,Union,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Union,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Union,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Union,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Union,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Union,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Union,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Union,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Union,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Union,Clear Spring Health,Local CCP,Clear Spring Health Deluxe Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9403,001,0,,Yes,$0.00 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Union,Clear Spring Health,Local CCP,Clear Spring Health Silver Plan (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H9403,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Union,Clear Spring Health,Local CCP,Clear Spring Health Select Plan (HMO),HMO,No,,Enhanced Alternative,H9403,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Union,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Union,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Union,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Union,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Union,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,Williamsburg,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Williamsburg,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,017,0,,Yes,$0.00 ,$34.80 ,$0.00 ,$34.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Williamsburg,First Choice VIP Care (HMO-D-SNP),Local CCP,First Choice VIP Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4739,001,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,Williamsburg,Clover Health,Local CCP,Clover Health LiveHealthy (PPO),Local PPO,No,,Enhanced Alternative,H5141,036,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Williamsburg,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Williamsburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,249,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,251,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,373,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,Williamsburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,Williamsburg,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,Williamsburg,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,Williamsburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,Williamsburg,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Williamsburg,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Williamsburg,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,Williamsburg,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,Williamsburg,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Williamsburg,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,Williamsburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,Williamsburg,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,Williamsburg,FIRST CHOICE VIP CARE PLUS,Demo,First Choice VIP Care Plus (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8213,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,Williamsburg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,Williamsburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,Williamsburg,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,Williamsburg,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,Williamsburg,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Carolina,York,UnitedHealthcare,Local CCP,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,016,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,York,UnitedHealthcare,Local CCP,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,056,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Carolina,York,UnitedHealthcare,Local CCP,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0271,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
South Carolina,York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,053,0,,Yes,$0.00 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
South Carolina,York,UnitedHealthcare,Local CCP,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,068,0,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
South Carolina,York,Wellcare Prime by Absolute Total Care,Demo,Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H1723,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,York,Molina Healthcare of South Carolina,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H2533,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
South Carolina,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
South Carolina,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,026,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.0,3.5
South Carolina,York,Devoted Health,Local CCP,Devoted CORE South Carolina (HMO),HMO,No,,Enhanced Alternative,H3041,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,011,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare Assure Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,016,0,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare Assure Flex Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3146,019,0,,Yes,$0.00 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,York,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H4847,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,3.0,3.5,3.0
South Carolina,York,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4847,004,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
South Carolina,York,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H4847,005,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$395.00 ,1,,,3.0,3.5,3.0
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-154 (PPO),Local PPO,No,,Enhanced Alternative,H5216,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,243,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5216,244,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,277,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-279 (PPO),Local PPO,No,,Enhanced Alternative,H5216,279,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-280 (PPO),Local PPO,No,,Enhanced Alternative,H5216,280,2,,,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-345 (PPO),Local PPO,No,,Enhanced Alternative,H5216,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-346 (PPO),Local PPO,No,,Enhanced Alternative,H5216,346,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
South Carolina,York,Humana,Local CCP,HumanaChoice H5216-347 (PPO),Local PPO,No,,Enhanced Alternative,H5216,347,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
South Carolina,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SC-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5322,044,0,,,$0.10 ,$30.90 ,$0.00 ,$30.90 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,140,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,319,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,York,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,444,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
South Carolina,York,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,082,0,,Yes,$0.00 ,$44.80 ,$0.00 ,$44.80 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
South Carolina,York,Humana,Local CCP,Humana Gold Plus H5619-152 (HMO),HMO,No,,Enhanced Alternative,H5619,152,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
South Carolina,York,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,161,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,3.5,4.0
South Carolina,York,PruittHealth Premier,Local CCP,PruittHealth Premier (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6345,002,0,,Yes,$0.00 ,$45.70 ,$0.00 ,$45.70 ,$0.00 ,$545.00 ,,,,Not enough data available,4.5,Not enough data available
South Carolina,York,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,York,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,006,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,York,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H7020,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,4.0
South Carolina,York,Devoted Health,Local CCP,Devoted CHOICE South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,York,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK South Carolina (PPO),Local PPO,No,,Enhanced Alternative,H7028,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
South Carolina,York,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,York,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H7326,003,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.5,3.5
South Carolina,York,Wellcare,Local CCP,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7326,006,0,,Yes,$0.00 ,$25.40 ,$0.00 ,$25.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
South Carolina,York,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H7326,007,0,,Yes,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$435.00 ,1,,,3.0,3.5,3.5
South Carolina,York,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,York,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,114,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
South Carolina,York,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total (PPO),Local PPO,No,,Enhanced Alternative,H8003,001,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Carolina,York,Blue Cross Blue Shield of South Carolina,Local CCP,BlueCross Total Value (PPO),Local PPO,No,,Enhanced Alternative,H8003,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,4.0,4.0,4.0
South Carolina,York,Humana,PFFS,Humana Gold Choice H8145-069 (PFFS),PFFS,No,,Enhanced Alternative,H8145,069,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$340.00 ,1,,,3.5,4.5,4.0
South Carolina,York,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8176,001,0,,Yes,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
South Carolina,York,Molina Healthcare of South Carolina,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H8176,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.5,3.0,3.5
South Carolina,York,UnitedHealthcare,Regional CCP,UHC Medicare Advantage GS-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R2604,001,0,,,$1.00 ,$61.00 ,$0.00 ,$61.00 ,$16.20 ,$345.00 ,1,,Yes,4.0,3.0,4.0
South Carolina,York,UnitedHealthcare,Regional CCP,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R2604,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
South Carolina,York,UnitedHealthcare,Regional CCP,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R2604,003,0,,,$2.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
South Carolina,York,Humana,Regional CCP,HumanaChoice R3392-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,002,0,,,$28.10 ,$63.90 ,$0.00 ,$63.90 ,$19.10 ,$340.00 ,1,,,4.0,3.5,4.0
South Carolina,York,Humana,Regional CCP,HumanaChoice R3392-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R3392,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,4.0,3.5,4.0
South Dakota,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
South Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
South Dakota,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
South Dakota,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
South Dakota,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
South Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
South Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
South Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
South Dakota,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
South Dakota,Aurora,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Aurora,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Aurora,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Aurora,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Aurora,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Aurora,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Aurora,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Aurora,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Aurora,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Aurora,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Aurora,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Aurora,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Aurora,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Aurora,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Aurora,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Aurora,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Beadle,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Beadle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Beadle,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Beadle,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Beadle,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Beadle,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Beadle,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Beadle,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Beadle,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Beadle,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Bennett,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Bennett,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Bennett,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Bennett,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Bon Homme,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Bon Homme,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Bon Homme,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Bon Homme,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Bon Homme,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Bon Homme,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Bon Homme,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Bon Homme,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Bon Homme,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Bon Homme,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Bon Homme,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Bon Homme,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Bon Homme,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Bon Homme,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Bon Homme,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Bon Homme,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Bon Homme,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Bon Homme,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Brookings,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brookings,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Brookings,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Brookings,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Brookings,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brookings,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brookings,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Brookings,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brookings,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Brookings,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Brookings,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Brookings,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Brookings,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Brookings,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Brookings,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Brookings,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Brookings,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
South Dakota,Brookings,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
South Dakota,Brookings,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
South Dakota,Brown,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brown,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Brown,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Brown,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Brown,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Brown,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Brown,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Brule,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brule,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brule,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Brule,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Brule,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Brule,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Brule,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Brule,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Buffalo,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Buffalo,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Buffalo,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Buffalo,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Butte,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Butte,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Butte,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Butte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Butte,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Butte,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Butte,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Butte,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Butte,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Butte,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Butte,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Butte,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Butte,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Butte,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Campbell,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Campbell,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Campbell,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Campbell,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Campbell,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Campbell,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Campbell,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Campbell,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Campbell,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Campbell,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Charles Mix,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Charles Mix,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Charles Mix,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Charles Mix,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Charles Mix,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Charles Mix,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Charles Mix,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Charles Mix,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Charles Mix,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Charles Mix,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Charles Mix,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Charles Mix,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Charles Mix,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Charles Mix,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Charles Mix,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Charles Mix,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Charles Mix,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Charles Mix,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clark,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Clark,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clark,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clark,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Clark,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clark,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Clark,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Clark,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Clark,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Clark,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Clark,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Clark,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Clark,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Clark,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clark,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clark,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Clark,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Clay,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clay,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clay,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Clay,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Clay,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Clay,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Clay,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Clay,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Clay,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Clay,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Clay,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Clay,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clay,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Clay,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Clay,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Codington,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Codington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Codington,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Codington,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Codington,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Codington,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Codington,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Codington,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Codington,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Codington,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Corson,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Corson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Corson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Corson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Corson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Corson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Corson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Corson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Corson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Corson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Corson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Corson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Custer,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Custer,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Custer,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Custer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Custer,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Custer,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Custer,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Custer,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Custer,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Custer,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Custer,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Custer,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Custer,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Custer,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Custer,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Custer,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Davison,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Davison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Davison,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Davison,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Davison,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Davison,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Davison,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Davison,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Davison,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Davison,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Davison,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Davison,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Davison,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Davison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Davison,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Day,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Day,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Day,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Day,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Day,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Day,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Day,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Day,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Day,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Day,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Day,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Day,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Day,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Day,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Day,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Day,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Day,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Day,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Day,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Day,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Day,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Day,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Deuel,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Deuel,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Deuel,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Deuel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Deuel,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Deuel,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Deuel,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Deuel,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Deuel,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Deuel,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Deuel,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Deuel,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Deuel,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Deuel,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Deuel,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Deuel,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Deuel,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Deuel,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Deuel,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
South Dakota,Deuel,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
South Dakota,Deuel,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
South Dakota,Dewey,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Dewey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Dewey,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Dewey,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Dewey,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Dewey,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Dewey,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Dewey,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Douglas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Douglas,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Douglas,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Douglas,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Douglas,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Douglas,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Douglas,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Douglas,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Douglas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Douglas,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Douglas,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Edmunds,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Edmunds,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Edmunds,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Edmunds,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Edmunds,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Edmunds,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Edmunds,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Edmunds,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Edmunds,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Fall River,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Fall River,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Fall River,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Fall River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Fall River,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Fall River,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Fall River,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Fall River,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Fall River,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Fall River,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Fall River,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Fall River,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Fall River,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Fall River,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Faulk,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Faulk,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Faulk,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Faulk,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Faulk,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Faulk,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Faulk,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Grant,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Grant,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Grant,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Grant,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Grant,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Gregory,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Gregory,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Gregory,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Gregory,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Gregory,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Gregory,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Gregory,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Gregory,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Gregory,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Gregory,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Gregory,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Haakon,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Haakon,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Haakon,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Haakon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Haakon,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Haakon,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Haakon,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Haakon,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Haakon,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Haakon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Haakon,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hamlin,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Hamlin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Hamlin,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Hamlin,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Hamlin,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hamlin,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hamlin,Medica,Local CCP,Medica Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H8889,012,0,,,$52.20 ,$13.80 ,$0.00 ,$13.80 ,$0.00 ,$175.00 ,1,,,4.0,4.5,4.0
South Dakota,Hamlin,Medica,Local CCP,Medica Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H8889,013,0,,,$181.30 ,$10.70 ,$0.00 ,$10.70 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.0
South Dakota,Hamlin,Medica,Local CCP,Medica Advantage Value (PPO),Local PPO,No,,Enhanced Alternative,H8889,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,,4.0,4.5,4.0
South Dakota,Hand,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hand,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hand,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Hand,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Hand,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Hand,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hand,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hand,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Hand,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Hanson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hanson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hanson,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Hanson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Hanson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hanson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hanson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hanson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hanson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Hanson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hanson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hanson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Hanson,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Hanson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Hanson,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hanson,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hanson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hanson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hanson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hanson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hanson,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Hanson,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Harding,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Harding,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Harding,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Harding,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Harding,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Harding,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Harding,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Harding,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Harding,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Harding,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Harding,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hughes,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Hughes,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hughes,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hughes,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Hutchinson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hutchinson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hutchinson,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Hutchinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Hutchinson,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hutchinson,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hutchinson,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hutchinson,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hutchinson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Hutchinson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hutchinson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hutchinson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Hutchinson,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Hutchinson,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Hutchinson,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hutchinson,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Hutchinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hutchinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hutchinson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Hutchinson,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Hutchinson,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Hyde,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Hyde,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Hyde,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Hyde,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hyde,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Hyde,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Hyde,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Jackson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Jackson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Jackson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jackson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jackson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Jackson,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Jackson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Jackson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Jerauld,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Jerauld,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Jerauld,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Jerauld,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Jerauld,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Jerauld,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Jerauld,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Jerauld,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jerauld,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jerauld,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Jerauld,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Jerauld,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Jerauld,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Jerauld,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Jones,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Jones,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jones,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Jones,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Kingsbury,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Kingsbury,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Kingsbury,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Kingsbury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Kingsbury,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Kingsbury,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Kingsbury,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Kingsbury,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Kingsbury,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Kingsbury,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Kingsbury,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Kingsbury,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Kingsbury,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Kingsbury,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Kingsbury,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Kingsbury,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Kingsbury,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Kingsbury,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Kingsbury,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Kingsbury,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Kingsbury,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Kingsbury,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Lake,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lake,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lake,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Lake,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lake,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Lake,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lake,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lake,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Lake,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Lake,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Lake,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lake,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lake,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lake,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lake,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lake,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Lake,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Lawrence,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Lawrence,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Lawrence,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lawrence,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lawrence,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Lawrence,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Lawrence,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Lawrence,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lawrence,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lawrence,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lawrence,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Lincoln,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Lincoln,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Lincoln,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Lincoln,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lincoln,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lincoln,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Lincoln,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Lincoln,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Lincoln,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lincoln,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Lincoln,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Lincoln,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Lincoln,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Lyman,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Lyman,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lyman,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Lyman,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Marshall,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Marshall,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Marshall,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Marshall,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Marshall,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Marshall,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Marshall,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Marshall,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Marshall,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Marshall,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Marshall,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Marshall,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Marshall,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,McCook,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,McCook,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,McCook,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,McCook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,McCook,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,McCook,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,McCook,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,McCook,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,McCook,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,McCook,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,McCook,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,McCook,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,McCook,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,McCook,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,McCook,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,McCook,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,McCook,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,McCook,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,McCook,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,McCook,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,McCook,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,McCook,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,McCook,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,McPherson,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,McPherson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,McPherson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,McPherson,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,McPherson,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,McPherson,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,McPherson,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,McPherson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,McPherson,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Meade,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Meade,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Meade,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Meade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Meade,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Meade,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Meade,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Meade,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Meade,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Meade,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Meade,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Meade,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Meade,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Meade,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Meade,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Meade,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Mellette,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Mellette,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Mellette,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Mellette,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Miner,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Miner,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Miner,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Miner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Miner,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Miner,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Miner,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Miner,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Miner,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Miner,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Miner,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Miner,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Miner,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Miner,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Miner,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Miner,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Miner,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Miner,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Miner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Miner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Miner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Miner,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Miner,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Minnehaha,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Minnehaha,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Minnehaha,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Minnehaha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Minnehaha,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Minnehaha,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Minnehaha,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Minnehaha,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Minnehaha,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Minnehaha,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Minnehaha,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Minnehaha,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Minnehaha,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Minnehaha,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Minnehaha,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Minnehaha,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
South Dakota,Minnehaha,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Minnehaha,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Minnehaha,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Minnehaha,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Minnehaha,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Minnehaha,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Minnehaha,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Minnehaha,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Moody,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Moody,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Moody,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Moody,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Moody,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Moody,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Moody,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Moody,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Moody,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Moody,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Moody,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Moody,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Moody,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Moody,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Moody,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Moody,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Moody,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Moody,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Moody,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Moody,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Moody,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Oglala Lakota,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Oglala Lakota,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Oglala Lakota,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Oglala Lakota,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Pennington,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Pennington,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Pennington,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Pennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Pennington,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Pennington,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Pennington,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Pennington,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Pennington,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Pennington,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Pennington,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Pennington,Humana,Local CCP,HumanaChoice H5216-092 (PPO),Local PPO,No,,Enhanced Alternative,H5216,092,0,,,$41.70 ,$37.30 ,$0.00 ,$37.30 ,$0.00 ,$545.00 ,1,,,4.5,4.0,4.5
South Dakota,Pennington,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Pennington,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Pennington,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Pennington,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Pennington,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Pennington,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Perkins,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Perkins,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Perkins,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Perkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Perkins,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Perkins,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Perkins,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Perkins,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Perkins,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Perkins,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Perkins,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Potter,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Potter,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Potter,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Potter,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Potter,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Potter,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Potter,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Roberts,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Roberts,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Roberts,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Roberts,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Roberts,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Roberts,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Roberts,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Roberts,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Roberts,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Roberts,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Roberts,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Roberts,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Roberts,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Roberts,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Roberts,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Roberts,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Sanborn,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Sanborn,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Sanborn,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Sanborn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Sanborn,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Sanborn,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Sanborn,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Sanborn,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Sanborn,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Sanborn,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Sanborn,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Sanborn,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Sanborn,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Sanborn,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Sanborn,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Sanborn,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Sanborn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Sanborn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Sanborn,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Sanborn,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Sanborn,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Spink,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Spink,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Spink,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Spink,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Spink,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Spink,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Spink,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Spink,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Spink,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Spink,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Stanley,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Stanley,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Stanley,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Stanley,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Sully,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Sully,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Sully,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Sully,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Todd,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Todd,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Todd,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Todd,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Tripp,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Tripp,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Tripp,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Tripp,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Tripp,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Tripp,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Turner,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Turner,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Turner,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Turner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Turner,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Turner,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Turner,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Turner,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Turner,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Turner,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Turner,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Turner,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Turner,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Turner,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Turner,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Turner,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Turner,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Turner,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Turner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Turner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Turner,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Turner,Align powered by Sanford Health Plan,Local CCP,Align ChoiceElite (PPO),Local PPO,No,,Enhanced Alternative,H8385,001,0,,,$33.70 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$150.00 ,1,,,5.0,4.0,4.5
South Dakota,Turner,Align powered by Sanford Health Plan,Local CCP,Align ChoicePlus (PPO),Local PPO,No,,Enhanced Alternative,H8385,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,5.0,4.0,4.5
South Dakota,Union,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Union,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Union,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Union,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Union,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Union,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Union,Great Plains Medicare Advantage,Local CCP,Great Plains Medicare Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H1787,001,0,,Yes,$0.00 ,$23.90 ,$0.00 ,$23.90 ,$0.00 ,$545.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Union,Great Plains Medicare Advantage,Local CCP,Great Plain Medicare Advantage Gold (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H1787,002,0,,,$57.30 ,$7.70 ,$0.00 ,$7.70 ,$0.00 ,$0.00 ,,,,Not enough data available,4.0,Not enough data available
South Dakota,Union,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Union,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Union,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Union,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Union,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Union,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Union,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Union,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Union,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Union,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Walworth,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Walworth,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Walworth,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Walworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Walworth,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Walworth,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Walworth,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Walworth,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Walworth,Humana,Local CCP,HumanaChoice H5525-067 (PPO),Local PPO,No,,Enhanced Alternative,H5525,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.0,3.5,4.0
South Dakota,Walworth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Walworth,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,Humana,Local CCP,Humana Gold Plus H0028-053 (HMO),HMO,No,,Enhanced Alternative,H0028,053,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Yankton,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,058,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Yankton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SI-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Yankton,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H1608,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Yankton,Aetna Medicare,Local CCP,Aetna Medicare Elite (PPO),Local PPO,No,,Enhanced Alternative,H1608,043,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Yankton,Aetna Medicare,Local CCP,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1608,062,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H1608,064,0,,,$93.80 ,$41.20 ,$0.00 ,$41.20 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
South Dakota,Yankton,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Yankton,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Yankton,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Yankton,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Yankton,Humana,Local CCP,HumanaChoice H5216-088 (PPO),Local PPO,No,,Enhanced Alternative,H5216,088,0,,,$57.60 ,$47.40 ,$0.00 ,$47.40 ,$5.20 ,$400.00 ,1,,,4.5,4.0,4.5
South Dakota,Yankton,Humana,Local CCP,Humana Value Plus H5216-171 (PPO),Local PPO,No,,Basic Alternative,H5216,171,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
South Dakota,Yankton,Humana,Local CCP,HumanaChoice H5216-273 (PPO),Local PPO,No,,Enhanced Alternative,H5216,273,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Yankton,Humana,Local CCP,HumanaChoice H5216-398 (PPO),Local PPO,No,,Enhanced Alternative,H5216,398,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$12.60 ,$150.00 ,1,,Yes,4.5,4.0,4.5
South Dakota,Yankton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO | Avera (PPO),Local PPO,No,,Enhanced Alternative,H5900,005,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Yankton,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Ziebach,UnitedHealthcare,Local CCP,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,037,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
South Dakota,Ziebach,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC SD-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,009,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
South Dakota,Ziebach,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
South Dakota,Ziebach,Medica,1876 Cost,Medica Prime Solution Core w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,035,0,,,,$30.50 ,$18.80 ,$49.30 ,$18.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Ziebach,Medica,1876 Cost,Medica Prime Solution Premier w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,037,0,,,,$32.90 ,$26.80 ,$59.70 ,$26.80 ,$545.00 ,1,,,3.5,4.5,4.0
South Dakota,Ziebach,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
South Dakota,Ziebach,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,003,0,,,$19.00 ,($8.10),$8.10 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
South Dakota,Ziebach,Wellmark Advantage Health Plan,Local CCP,Blue Medicare Advantage Enhanced PPO (PPO),Local PPO,No,,Enhanced Alternative,H5900,004,0,,,$64.00 ,($6.20),$6.20 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Tennessee,(All Counties),BlueRx (PDP),PDP,BlueRx Enhanced Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S1030,001,0,,,,$101.80 ,$51.90 ,$153.70 ,$112.30 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),BlueRx (PDP),PDP,BlueRx Essential (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S1030,006,0,,,,$72.00 ,$0.00 ,$72.00 ,$30.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),BlueRx (PDP),PDP,BlueRx Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S1030,010,0,,,,$105.10 ,$14.40 ,$119.50 ,$78.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Farm Bureau Health Plans,PDP,Farm Bureau Essential Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S2668,005,0,,Yes,,$37.10 ,$0.00 ,$37.10 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Tennessee,(All Counties),Farm Bureau Health Plans,PDP,Farm Bureau Select Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2668,006,0,,,,$41.00 ,$35.70 ,$76.70 ,$35.70 ,$0.00 ,,,,Not Applicable,2.0,Not Applicable
Tennessee,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,071,0,Yes,Yes,,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Tennessee,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,147,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Tennessee,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,215,0,Yes,,,$34.70 ,$44.20 ,$78.90 ,$44.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Tennessee,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,024,0,Yes,,,$50.00 ,$0.00 ,$50.00 ,$8.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,025,0,Yes,,,$41.30 ,$62.80 ,$104.10 ,$62.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,187,0,Yes,,,$10.10 ,$2.20 ,$12.30 ,$2.20 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,220,0,Yes,,,$56.80 ,$0.00 ,$56.80 ,$15.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,257,0,Yes,,,$75.30 ,$8.10 ,$83.40 ,$42.00 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,362,0,Yes,,,$5.30 ,$15.40 ,$20.70 ,$15.40 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,011,0,Yes,,,$73.60 ,$28.70 ,$102.30 ,$60.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Tennessee,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,106,0,Yes,Yes,,$40.40 ,$0.00 ,$40.40 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Tennessee,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,158,0,Yes,,,$78.60 ,$18.10 ,$96.70 ,$55.30 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Tennessee,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,191,0,Yes,,,$34.60 ,$5.50 ,$40.10 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Tennessee,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,357,0,Yes,Yes,,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,393,0,Yes,,,$52.80 ,$6.80 ,$59.60 ,$18.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Tennessee,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,011,0,,,,$116.90 ,$0.00 ,$116.90 ,$75.50 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Tennessee,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,081,0,,,,$60.40 ,$12.60 ,$73.00 ,$31.60 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Tennessee,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,114,0,,,,($0.60),$24.20 ,$23.60 ,$23.60 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Tennessee,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Anderson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Anderson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Anderson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Anderson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Anderson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Anderson,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Anderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Anderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Anderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Anderson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Anderson,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Anderson,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Anderson,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Anderson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Anderson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Anderson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Anderson,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Anderson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Anderson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Anderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Anderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Anderson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Anderson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Anderson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Anderson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Anderson,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Anderson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Anderson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Anderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Anderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Anderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Anderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Anderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Anderson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Anderson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Anderson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bedford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Bedford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Bedford,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Bedford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Bedford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bedford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bedford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bedford,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bedford,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bedford,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bedford,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bedford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bedford,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bedford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bedford,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bedford,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Bedford,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bedford,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Bedford,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bedford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bedford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bedford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bedford,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bedford,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Bedford,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Bedford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Bedford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bedford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bedford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bedford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bedford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bedford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bedford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bedford,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Benton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Benton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Benton,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Benton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Benton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Benton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Benton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Benton,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Benton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Benton,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Benton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Benton,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Benton,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Benton,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Benton,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Benton,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Benton,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Benton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Benton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Benton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Benton,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Benton,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Benton,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Benton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Benton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Benton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Benton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Benton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Benton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Benton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Benton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Benton,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Bledsoe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Bledsoe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bledsoe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bledsoe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bledsoe,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bledsoe,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bledsoe,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bledsoe,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bledsoe,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bledsoe,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bledsoe,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bledsoe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bledsoe,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Bledsoe,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bledsoe,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Bledsoe,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Bledsoe,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bledsoe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bledsoe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bledsoe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bledsoe,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bledsoe,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Bledsoe,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bledsoe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Bledsoe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bledsoe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bledsoe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bledsoe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bledsoe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bledsoe,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bledsoe,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bledsoe,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bledsoe,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Blount,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Blount,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Blount,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Blount,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Blount,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Blount,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Blount,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Blount,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Blount,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Blount,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Blount,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Blount,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Blount,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Blount,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Blount,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Blount,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Blount,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Blount,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Blount,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Blount,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Blount,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Blount,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Blount,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Blount,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Blount,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Blount,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Blount,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Blount,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Blount,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Blount,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Blount,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Blount,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Blount,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Blount,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Blount,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Blount,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Blount,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Blount,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Blount,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Blount,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Bradley,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bradley,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bradley,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Bradley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Bradley,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Bradley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Bradley,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Bradley,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Bradley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Bradley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bradley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bradley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Bradley,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bradley,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bradley,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Bradley,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bradley,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Bradley,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Bradley,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bradley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Bradley,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Bradley,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bradley,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Bradley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bradley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bradley,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Bradley,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Bradley,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bradley,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Bradley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bradley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bradley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bradley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Bradley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Bradley,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bradley,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Bradley,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bradley,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Bradley,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Campbell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Campbell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Campbell,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Campbell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Campbell,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Campbell,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Campbell,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Campbell,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Campbell,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Campbell,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Campbell,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Campbell,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Campbell,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Campbell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Campbell,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Campbell,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Campbell,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Campbell,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Campbell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Campbell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Campbell,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Campbell,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Campbell,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Campbell,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Campbell,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Campbell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Campbell,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Campbell,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Campbell,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Campbell,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Campbell,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Campbell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Campbell,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Campbell,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Cannon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cannon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cannon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Cannon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Cannon,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Cannon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Cannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Cannon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Cannon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cannon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cannon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cannon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cannon,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cannon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cannon,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cannon,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cannon,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cannon,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cannon,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Cannon,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cannon,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Cannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cannon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Cannon,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cannon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cannon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cannon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cannon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cannon,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cannon,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Cannon,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Cannon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cannon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cannon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cannon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cannon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cannon,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cannon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cannon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cannon,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carroll,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Carroll,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Carroll,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Carroll,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Carroll,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carroll,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carroll,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Carroll,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Carroll,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Carroll,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carroll,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Carroll,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Carroll,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carroll,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Carroll,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Carroll,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Carroll,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Carroll,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carroll,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carroll,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carroll,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Carroll,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Carroll,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Carroll,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carroll,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carroll,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carroll,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carroll,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Carroll,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Carroll,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Carroll,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carter,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Carter,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Carter,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Carter,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Carter,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Carter,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Carter,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Carter,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carter,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carter,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Carter,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Carter,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Carter,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Carter,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Carter,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Carter,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Carter,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Carter,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Carter,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Carter,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carter,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carter,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Carter,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Carter,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Carter,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Carter,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carter,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carter,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carter,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Carter,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Carter,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Cheatham,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cheatham,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Cheatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Cheatham,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Cheatham,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cheatham,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cheatham,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cheatham,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cheatham,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cheatham,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cheatham,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Cheatham,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Cheatham,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cheatham,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Cheatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cheatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cheatham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Cheatham,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cheatham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cheatham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cheatham,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cheatham,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cheatham,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cheatham,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Cheatham,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Cheatham,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Cheatham,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cheatham,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cheatham,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cheatham,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cheatham,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cheatham,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cheatham,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cheatham,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Chester,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Chester,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Chester,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Chester,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Chester,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Chester,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Chester,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Chester,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Chester,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Chester,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Chester,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Chester,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Chester,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Chester,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Chester,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Chester,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Chester,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Chester,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Chester,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Chester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Chester,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Chester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Chester,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Chester,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Chester,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Chester,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Chester,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Chester,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Chester,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Chester,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Chester,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Chester,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Chester,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Claiborne,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Claiborne,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Claiborne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Claiborne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Claiborne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Claiborne,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Claiborne,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Claiborne,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Claiborne,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Claiborne,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Claiborne,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Claiborne,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Claiborne,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Claiborne,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Claiborne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Claiborne,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Claiborne,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Claiborne,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Claiborne,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Claiborne,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Claiborne,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Claiborne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Claiborne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Claiborne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Claiborne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Claiborne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Claiborne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Claiborne,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Clay,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Clay,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Clay,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Clay,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Clay,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Clay,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Clay,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Clay,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Clay,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Clay,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Clay,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Clay,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Clay,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Clay,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Clay,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Clay,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Clay,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Clay,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Clay,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Clay,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Clay,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Clay,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Clay,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Clay,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Clay,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Clay,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Clay,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Clay,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Clay,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Clay,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Clay,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Clay,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Cocke,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cocke,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cocke,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Cocke,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Cocke,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Cocke,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Cocke,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Cocke,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cocke,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cocke,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cocke,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cocke,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cocke,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cocke,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cocke,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cocke,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cocke,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cocke,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cocke,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Cocke,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cocke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cocke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cocke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Cocke,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cocke,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cocke,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cocke,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cocke,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Cocke,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cocke,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cocke,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cocke,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Cocke,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cocke,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cocke,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cocke,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cocke,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cocke,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cocke,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cocke,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Coffee,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Coffee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Coffee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Coffee,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Coffee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Coffee,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Coffee,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Coffee,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Coffee,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Coffee,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Coffee,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Coffee,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Coffee,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Coffee,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Coffee,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Coffee,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Coffee,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Coffee,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Coffee,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Coffee,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Coffee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Coffee,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Coffee,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Coffee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Coffee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Coffee,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Coffee,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Coffee,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Coffee,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Coffee,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Coffee,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Coffee,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Coffee,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Coffee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Coffee,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Coffee,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Crockett,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Crockett,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Crockett,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Crockett,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Crockett,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Crockett,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Crockett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Crockett,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Crockett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Crockett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Crockett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Crockett,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Crockett,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Crockett,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Crockett,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Crockett,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Crockett,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Crockett,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Crockett,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Crockett,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Crockett,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Crockett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Crockett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Crockett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Crockett,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Crockett,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Crockett,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Crockett,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Crockett,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Crockett,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Crockett,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Crockett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Crockett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Crockett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Crockett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Crockett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Crockett,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Cumberland,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Cumberland,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cumberland,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cumberland,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cumberland,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cumberland,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Cumberland,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cumberland,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Cumberland,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Cumberland,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cumberland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cumberland,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cumberland,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Cumberland,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Cumberland,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Cumberland,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cumberland,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cumberland,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Cumberland,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Cumberland,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cumberland,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cumberland,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Cumberland,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Cumberland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Cumberland,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cumberland,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cumberland,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cumberland,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Cumberland,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cumberland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Cumberland,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Davidson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Davidson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Davidson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Davidson,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Davidson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Davidson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Davidson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Davidson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Davidson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Davidson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Davidson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Davidson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Davidson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Davidson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Davidson,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Davidson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Davidson,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Davidson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Davidson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Davidson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Davidson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Davidson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Davidson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Davidson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Davidson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Davidson,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Davidson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Davidson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Davidson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Davidson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Davidson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Davidson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Davidson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Davidson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Davidson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Davidson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,DeKalb,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,DeKalb,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,DeKalb,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,DeKalb,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,DeKalb,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,DeKalb,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,DeKalb,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,DeKalb,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,DeKalb,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,DeKalb,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,DeKalb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,DeKalb,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,DeKalb,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,DeKalb,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,DeKalb,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,DeKalb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,DeKalb,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,DeKalb,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,DeKalb,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,DeKalb,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,DeKalb,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,DeKalb,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,DeKalb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,DeKalb,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,DeKalb,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,DeKalb,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,DeKalb,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,DeKalb,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,DeKalb,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,DeKalb,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Decatur,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Decatur,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Decatur,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Decatur,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Decatur,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Decatur,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Decatur,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Decatur,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Decatur,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Decatur,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Decatur,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Decatur,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Decatur,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Decatur,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Decatur,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Decatur,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Decatur,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Decatur,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Decatur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Decatur,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Decatur,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Decatur,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Decatur,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Decatur,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Decatur,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Decatur,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Decatur,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Decatur,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Decatur,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Decatur,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Decatur,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Decatur,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Decatur,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Decatur,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Decatur,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Dickson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Dickson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Dickson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Dickson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Dickson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Dickson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Dickson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Dickson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Dickson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dickson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dickson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dickson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Dickson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Dickson,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Dickson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Dickson,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Dickson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Dickson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Dickson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Dickson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Dickson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Dickson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Dickson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Dickson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dickson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dickson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Dickson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dickson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Dickson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dickson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dickson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dickson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Dickson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Dickson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Dickson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dickson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dickson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dickson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dickson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Dickson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Dickson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Dickson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Dyer,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Dyer,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Dyer,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Dyer,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Dyer,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Dyer,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Dyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Dyer,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Dyer,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dyer,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dyer,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Dyer,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Dyer,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Dyer,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Dyer,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Dyer,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Dyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Dyer,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Dyer,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Dyer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dyer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dyer,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Dyer,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Dyer,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Dyer,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dyer,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dyer,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dyer,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Dyer,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Dyer,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fayette,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Fayette,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Fayette,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Fayette,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Fayette,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fayette,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fayette,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fayette,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Fayette,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Fayette,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Fayette,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Fayette,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Fayette,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fayette,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fayette,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fayette,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fayette,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fayette,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Fayette,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Fayette,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Fayette,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Fayette,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Fayette,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Fayette,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fayette,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fayette,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fayette,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fayette,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Fayette,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Fayette,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Fentress,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fentress,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fentress,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Fentress,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Fentress,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Fentress,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Fentress,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Fentress,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Fentress,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Fentress,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fentress,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fentress,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Fentress,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Fentress,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Fentress,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Fentress,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Fentress,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fentress,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fentress,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Fentress,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Fentress,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Fentress,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Fentress,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fentress,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fentress,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Fentress,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Fentress,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Fentress,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fentress,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fentress,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Fentress,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Fentress,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Fentress,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Fentress,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fentress,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fentress,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fentress,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Fentress,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Fentress,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Fentress,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Fentress,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Franklin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Franklin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Franklin,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Franklin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Franklin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Franklin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Franklin,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Franklin,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Franklin,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Franklin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Franklin,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Franklin,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Franklin,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Franklin,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Franklin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Franklin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Franklin,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Franklin,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Franklin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Franklin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Franklin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Franklin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Franklin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Franklin,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Franklin,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Franklin,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Gibson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Gibson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Gibson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Gibson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Gibson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Gibson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Gibson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Gibson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Gibson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Gibson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Gibson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Gibson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Gibson,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Gibson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Gibson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Gibson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Gibson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Gibson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Gibson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Gibson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Gibson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Gibson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Gibson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Gibson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Gibson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Gibson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Gibson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Gibson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Gibson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Gibson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Gibson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Gibson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Gibson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Gibson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Gibson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Giles,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Giles,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Giles,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Giles,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Giles,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Giles,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Giles,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Giles,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Giles,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Giles,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Giles,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Giles,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Giles,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Giles,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Giles,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Giles,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Giles,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Giles,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Giles,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Giles,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Giles,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Giles,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Giles,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Giles,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Giles,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Giles,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Giles,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Giles,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Giles,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Giles,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Giles,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Giles,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Giles,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Giles,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Giles,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Giles,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Giles,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Giles,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Giles,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Giles,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Grainger,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grainger,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grainger,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Grainger,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Grainger,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Grainger,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Grainger,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Grainger,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grainger,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grainger,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grainger,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Grainger,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grainger,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Grainger,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grainger,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grainger,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grainger,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Grainger,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grainger,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Grainger,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Grainger,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grainger,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grainger,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Grainger,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grainger,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grainger,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grainger,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grainger,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Grainger,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grainger,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grainger,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grainger,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Grainger,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grainger,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grainger,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grainger,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grainger,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Grainger,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Grainger,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Grainger,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Greene,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Greene,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Greene,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Greene,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Greene,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Greene,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Greene,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Greene,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Greene,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Greene,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Greene,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Greene,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Greene,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Greene,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Greene,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Greene,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Greene,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Greene,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Greene,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Greene,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Greene,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Greene,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Greene,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Greene,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Greene,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Greene,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Greene,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Greene,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grundy,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grundy,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Grundy,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Grundy,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Grundy,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Grundy,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Grundy,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Grundy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grundy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grundy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Grundy,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Grundy,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grundy,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Grundy,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grundy,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Grundy,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grundy,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Grundy,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grundy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Grundy,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Grundy,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Grundy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grundy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grundy,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Grundy,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Grundy,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grundy,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Grundy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grundy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grundy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grundy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Grundy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Grundy,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grundy,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Grundy,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Grundy,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Grundy,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hamblen,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamblen,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamblen,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hamblen,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamblen,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamblen,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamblen,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hamblen,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamblen,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hamblen,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamblen,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamblen,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamblen,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hamblen,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hamblen,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Hamblen,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hamblen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamblen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamblen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hamblen,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamblen,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamblen,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamblen,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamblen,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hamblen,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hamblen,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamblen,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamblen,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamblen,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamblen,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hamblen,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hamblen,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Hamilton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamilton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamilton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hamilton,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hamilton,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamilton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hamilton,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamilton,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Hamilton,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Hamilton,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hamilton,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hamilton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamilton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamilton,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hamilton,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hamilton,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hamilton,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Hamilton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hamilton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamilton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamilton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamilton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hamilton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hamilton,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hamilton,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hamilton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hamilton,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hancock,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hancock,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hancock,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hancock,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hancock,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hancock,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hancock,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hancock,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hancock,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hancock,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hancock,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hancock,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hancock,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hancock,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hancock,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hancock,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hancock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hancock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hancock,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hancock,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hancock,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hancock,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Hancock,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hancock,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hancock,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hancock,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hancock,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hancock,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hancock,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hancock,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hancock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hancock,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hancock,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hardeman,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardeman,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardeman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hardeman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Hardeman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardeman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardeman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardeman,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hardeman,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hardeman,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hardeman,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hardeman,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardeman,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardeman,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardeman,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardeman,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Hardeman,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hardeman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardeman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardeman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hardeman,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardeman,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardeman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardeman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardeman,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardeman,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hardeman,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hardeman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardeman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardeman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardeman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardeman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hardeman,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hardeman,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hardin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardin,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Hardin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardin,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hardin,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hardin,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hardin,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardin,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardin,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hardin,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Hardin,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hardin,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hardin,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hardin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardin,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hardin,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hardin,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Hardin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hardin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hardin,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hardin,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hawkins,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hawkins,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hawkins,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hawkins,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hawkins,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hawkins,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hawkins,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Hawkins,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hawkins,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hawkins,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hawkins,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hawkins,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hawkins,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hawkins,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hawkins,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hawkins,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hawkins,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hawkins,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hawkins,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hawkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hawkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hawkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hawkins,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hawkins,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hawkins,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hawkins,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hawkins,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hawkins,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hawkins,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Hawkins,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hawkins,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hawkins,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hawkins,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hawkins,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hawkins,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hawkins,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hawkins,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hawkins,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Haywood,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Haywood,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Haywood,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Haywood,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Haywood,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Haywood,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Haywood,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Haywood,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Haywood,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Haywood,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Haywood,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Haywood,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Haywood,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Haywood,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Haywood,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Haywood,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Haywood,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Haywood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Haywood,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Haywood,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Haywood,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Haywood,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Haywood,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Haywood,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Haywood,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Haywood,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Haywood,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Haywood,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Haywood,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Haywood,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Haywood,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Haywood,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Haywood,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Haywood,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Haywood,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henderson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Henderson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Henderson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Henderson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Henderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henderson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Henderson,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Henderson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henderson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Henderson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henderson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Henderson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Henderson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henderson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henderson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Henderson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Henderson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Henderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henderson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Henderson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Henry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Henry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Henry,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Henry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Henry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Henry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Henry,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Henry,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Henry,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Henry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Henry,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Henry,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Henry,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Henry,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Henry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Henry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henry,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Henry,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Henry,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Henry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Henry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Henry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Henry,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Hickman,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hickman,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hickman,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Hickman,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Hickman,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Hickman,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Hickman,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Hickman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hickman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hickman,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Hickman,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hickman,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hickman,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Hickman,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Hickman,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Hickman,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hickman,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hickman,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Hickman,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hickman,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hickman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Hickman,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Hickman,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hickman,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Hickman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hickman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hickman,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Hickman,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Hickman,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Hickman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hickman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hickman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hickman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Hickman,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Hickman,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Hickman,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hickman,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Hickman,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Houston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Houston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Houston,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Houston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Houston,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Houston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Houston,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Houston,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Houston,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Houston,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Houston,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Houston,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Houston,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Houston,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Houston,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Houston,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Houston,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Houston,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Houston,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Houston,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Houston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Houston,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Houston,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Houston,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Houston,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Houston,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Houston,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Houston,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Houston,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Houston,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Houston,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Houston,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Houston,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Houston,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Houston,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Humphreys,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Humphreys,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Humphreys,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Humphreys,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Humphreys,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Humphreys,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Humphreys,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Humphreys,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Humphreys,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Humphreys,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Humphreys,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Humphreys,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Humphreys,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Humphreys,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Humphreys,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Humphreys,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Humphreys,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Humphreys,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Humphreys,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Humphreys,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Humphreys,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Humphreys,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Humphreys,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Humphreys,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Humphreys,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Humphreys,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Humphreys,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Humphreys,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Humphreys,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Humphreys,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Humphreys,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jackson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Jackson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Jackson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Jackson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Jackson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jackson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jackson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Jackson,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Jackson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jackson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Jackson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Jackson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Jackson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Jackson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Jackson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jackson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jackson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jackson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Jackson,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Jackson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jackson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jackson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jackson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jackson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Jackson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jackson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Jackson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Jackson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Jefferson,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Jefferson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jefferson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jefferson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Jefferson,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Jefferson,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Jefferson,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Jefferson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Jefferson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jefferson,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Jefferson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Jefferson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jefferson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jefferson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Jefferson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Jefferson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jefferson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jefferson,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Jefferson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jefferson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jefferson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jefferson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Jefferson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Jefferson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Jefferson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Johnson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Johnson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Johnson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Johnson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Johnson,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Johnson,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Johnson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Johnson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Johnson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Johnson,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Johnson,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Johnson,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Johnson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Johnson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Johnson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Johnson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Johnson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Johnson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Johnson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Johnson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Johnson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Johnson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Johnson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Johnson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Johnson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Johnson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Johnson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Johnson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Johnson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Knox,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Knox,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Knox,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Knox,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Knox,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Knox,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Knox,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Knox,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Knox,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Knox,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Knox,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Knox,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Knox,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Knox,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Knox,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Knox,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Knox,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Knox,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Knox,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Knox,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Knox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Knox,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Knox,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Knox,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Knox,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Knox,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Knox,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Knox,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Knox,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Knox,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Knox,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Knox,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Knox,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Knox,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Knox,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Knox,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Knox,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Knox,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Knox,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lake,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lake,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Lake,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Lake,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Lake,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Lake,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Lake,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lake,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lake,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lake,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Lake,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lake,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Lake,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lake,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Lake,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lake,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lake,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lake,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lake,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Lake,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Lake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Lake,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lake,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lake,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lake,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lake,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lake,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lauderdale,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Lauderdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Lauderdale,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Lauderdale,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Lauderdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lauderdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lauderdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lauderdale,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lauderdale,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Lauderdale,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lauderdale,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Lauderdale,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Lauderdale,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lauderdale,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lauderdale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lauderdale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lauderdale,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lauderdale,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Lauderdale,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Lauderdale,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Lauderdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lauderdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lauderdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lauderdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lauderdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lauderdale,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lawrence,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Lawrence,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lawrence,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lawrence,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lawrence,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lawrence,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Lawrence,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lawrence,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lawrence,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lawrence,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lawrence,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lawrence,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Lawrence,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lawrence,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lawrence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Lawrence,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lawrence,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lawrence,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lawrence,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lawrence,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lawrence,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Lawrence,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lawrence,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lawrence,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Lawrence,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lawrence,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lawrence,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lawrence,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lawrence,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lawrence,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lawrence,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lawrence,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lawrence,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lewis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Lewis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Lewis,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Lewis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Lewis,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lewis,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lewis,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lewis,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lewis,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lewis,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lewis,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lewis,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lewis,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Lewis,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lewis,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Lewis,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lewis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lewis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lewis,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lewis,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Lewis,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Lewis,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Lewis,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lewis,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lewis,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lewis,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lewis,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lewis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lewis,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lewis,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Lincoln,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lincoln,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lincoln,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lincoln,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Lincoln,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Lincoln,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lincoln,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lincoln,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lincoln,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Lincoln,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lincoln,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Lincoln,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lincoln,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lincoln,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Lincoln,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Lincoln,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lincoln,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lincoln,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Lincoln,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lincoln,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lincoln,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lincoln,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Lincoln,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Lincoln,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lincoln,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lincoln,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Lincoln,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Loudon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Loudon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Loudon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Loudon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Loudon,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Loudon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Loudon,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Loudon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Loudon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Loudon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Loudon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Loudon,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Loudon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Loudon,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Loudon,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Loudon,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Loudon,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Loudon,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Loudon,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Loudon,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Loudon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Loudon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Loudon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Loudon,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Loudon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Loudon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Loudon,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Loudon,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Loudon,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Loudon,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Loudon,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Loudon,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Loudon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Loudon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Loudon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Loudon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Loudon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Loudon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Loudon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Loudon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Loudon,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Macon,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Macon,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Macon,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Macon,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Macon,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Macon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Macon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Macon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Macon,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Macon,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Macon,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Macon,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Macon,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Macon,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Macon,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Macon,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Macon,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Macon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Macon,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Macon,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Macon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Macon,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Macon,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Macon,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Macon,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Macon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Macon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Macon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Macon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Macon,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Macon,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Macon,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Macon,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Macon,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Madison,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Madison,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Madison,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Madison,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Madison,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Madison,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Madison,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Madison,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Madison,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Madison,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Madison,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Madison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Madison,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Madison,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Madison,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Madison,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Madison,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Madison,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Madison,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Madison,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Madison,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Madison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Madison,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Madison,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Madison,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Madison,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Madison,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Madison,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marion,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Marion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Marion,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Marion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Marion,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Marion,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Marion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Marion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Marion,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Marion,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Marion,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Marion,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Marion,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Marion,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marion,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marion,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Marion,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Marion,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Marion,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Marion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Marion,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Marion,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Marion,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Marion,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Marion,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marshall,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Marshall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Marshall,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Marshall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Marshall,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marshall,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marshall,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Marshall,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Marshall,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Marshall,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Marshall,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Marshall,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Marshall,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marshall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marshall,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Marshall,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Marshall,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Marshall,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Marshall,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Marshall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marshall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marshall,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Marshall,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Marshall,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Marshall,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marshall,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marshall,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marshall,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Marshall,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Marshall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Marshall,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Marshall,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Maury,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Maury,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Maury,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Maury,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Maury,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Maury,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Maury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Maury,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Maury,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Maury,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Maury,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Maury,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Maury,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Maury,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Maury,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Maury,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Maury,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Maury,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Maury,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Maury,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Maury,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Maury,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Maury,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Maury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Maury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Maury,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Maury,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Maury,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Maury,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Maury,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Maury,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Maury,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Maury,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Maury,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Maury,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Maury,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Maury,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Maury,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Maury,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Maury,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Maury,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Maury,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Maury,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,McMinn,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McMinn,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McMinn,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,McMinn,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,McMinn,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,McMinn,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,McMinn,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,McMinn,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McMinn,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McMinn,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McMinn,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,McMinn,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,McMinn,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,McMinn,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,McMinn,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,McMinn,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,McMinn,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,McMinn,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,McMinn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McMinn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McMinn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,McMinn,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McMinn,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McMinn,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McMinn,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McMinn,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,McMinn,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McMinn,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McMinn,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McMinn,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McMinn,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,McMinn,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,McNairy,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McNairy,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McNairy,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,McNairy,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,McNairy,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,McNairy,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,McNairy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,McNairy,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,McNairy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McNairy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McNairy,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,McNairy,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,McNairy,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,McNairy,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,McNairy,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McNairy,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,McNairy,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,McNairy,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,McNairy,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,McNairy,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,McNairy,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,McNairy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McNairy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McNairy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,McNairy,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,McNairy,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,McNairy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McNairy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McNairy,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,McNairy,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,McNairy,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,McNairy,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,McNairy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McNairy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McNairy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McNairy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,McNairy,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,McNairy,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Meigs,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Meigs,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Meigs,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Meigs,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Meigs,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Meigs,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Meigs,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Meigs,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Meigs,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Meigs,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Meigs,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Meigs,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Meigs,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Meigs,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Meigs,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Meigs,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Meigs,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Meigs,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Meigs,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Meigs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Meigs,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Meigs,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Meigs,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Meigs,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Meigs,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Meigs,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Meigs,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Meigs,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Meigs,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Meigs,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Meigs,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Meigs,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Meigs,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Meigs,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Meigs,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Meigs,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Meigs,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Meigs,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Meigs,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Monroe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Monroe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Monroe,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Monroe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Monroe,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Monroe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Monroe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Monroe,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Monroe,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Monroe,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Monroe,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Monroe,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Monroe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Monroe,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Monroe,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Monroe,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Monroe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Monroe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Monroe,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Monroe,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Monroe,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Monroe,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Monroe,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Monroe,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Monroe,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Monroe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Monroe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Monroe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Monroe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Monroe,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Monroe,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Monroe,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Monroe,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Montgomery,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Montgomery,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Montgomery,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Montgomery,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Montgomery,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Montgomery,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Montgomery,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Montgomery,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Montgomery,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Montgomery,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Montgomery,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Montgomery,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Montgomery,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Montgomery,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Montgomery,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Montgomery,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Montgomery,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Montgomery,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Montgomery,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Montgomery,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Montgomery,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Montgomery,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Montgomery,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Montgomery,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Moore,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Moore,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Moore,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Moore,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Moore,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Moore,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Moore,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Moore,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Moore,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Moore,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Moore,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Moore,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Moore,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Moore,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Moore,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Moore,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Moore,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Moore,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Moore,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Moore,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Moore,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Moore,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Moore,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Moore,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Moore,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Moore,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Moore,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Moore,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Moore,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Moore,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Moore,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Moore,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Moore,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Moore,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Moore,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Moore,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Morgan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Morgan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Morgan,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Morgan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Morgan,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Morgan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Morgan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Morgan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Morgan,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Morgan,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Morgan,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Morgan,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Morgan,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Morgan,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Morgan,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Morgan,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Morgan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Morgan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Morgan,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Morgan,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Morgan,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Morgan,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Morgan,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Morgan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Morgan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Morgan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Morgan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Morgan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Morgan,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Morgan,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Morgan,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Obion,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Obion,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Obion,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Obion,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Obion,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Obion,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Obion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Obion,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Obion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Obion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Obion,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Obion,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Obion,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Obion,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Obion,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Obion,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Obion,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Obion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Obion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Obion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Obion,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Obion,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Obion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Obion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Obion,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Obion,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Obion,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Obion,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Obion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Obion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Obion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Obion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Obion,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Obion,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Overton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Overton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Overton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Overton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Overton,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Overton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Overton,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Overton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Overton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Overton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Overton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Overton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Overton,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Overton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Overton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Overton,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Overton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Overton,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Overton,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Overton,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Overton,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Overton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Overton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Overton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Overton,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Overton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Overton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Overton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Overton,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Overton,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Overton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Overton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Overton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Overton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Overton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Overton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Overton,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Overton,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Overton,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Perry,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Perry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Perry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Perry,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Perry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Perry,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Perry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Perry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Perry,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Perry,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Perry,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Perry,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Perry,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Perry,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Perry,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Perry,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Perry,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Perry,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Perry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Perry,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Perry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Perry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Perry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Perry,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Perry,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Perry,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Perry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Perry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Perry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Perry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Perry,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Perry,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Perry,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Perry,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Pickett,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Pickett,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Pickett,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Pickett,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Pickett,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Pickett,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Pickett,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Pickett,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Pickett,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Pickett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Pickett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Pickett,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Pickett,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Pickett,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Pickett,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Pickett,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Pickett,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Pickett,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Pickett,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Pickett,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Pickett,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Pickett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Pickett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Pickett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Pickett,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Pickett,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Pickett,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Pickett,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Pickett,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Pickett,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Pickett,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Pickett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Pickett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Pickett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Pickett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Pickett,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Pickett,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Pickett,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Pickett,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Polk,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Polk,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Polk,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Polk,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Polk,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Polk,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Polk,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Polk,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Polk,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Polk,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Polk,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Polk,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Polk,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Polk,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Polk,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Polk,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Polk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Polk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Polk,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Polk,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Polk,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Polk,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Polk,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Polk,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Polk,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Polk,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Polk,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Polk,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Polk,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Polk,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Polk,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Putnam,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Putnam,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Putnam,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Putnam,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Putnam,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Putnam,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Putnam,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Putnam,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Putnam,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Putnam,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Putnam,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Putnam,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Putnam,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Putnam,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Putnam,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Putnam,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Putnam,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Putnam,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Putnam,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Putnam,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Putnam,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Putnam,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Putnam,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Putnam,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Putnam,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Putnam,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Putnam,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Putnam,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Putnam,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Putnam,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Putnam,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Putnam,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Putnam,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Rhea,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rhea,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rhea,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Rhea,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Rhea,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Rhea,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Rhea,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Rhea,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Rhea,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Rhea,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rhea,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rhea,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rhea,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Rhea,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Rhea,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Rhea,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Rhea,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Rhea,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rhea,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Rhea,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Rhea,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rhea,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rhea,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Rhea,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rhea,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rhea,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rhea,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rhea,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rhea,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Rhea,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rhea,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Rhea,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Rhea,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rhea,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rhea,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rhea,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rhea,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Rhea,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rhea,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rhea,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Rhea,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Rhea,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Roane,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Roane,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Roane,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Roane,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Roane,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Roane,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Roane,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Roane,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Roane,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Roane,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Roane,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Roane,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Roane,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Roane,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Roane,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Roane,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Roane,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Roane,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Roane,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Roane,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Roane,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Roane,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Roane,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Roane,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Roane,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Roane,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Roane,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Roane,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Roane,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Roane,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Roane,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Roane,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Robertson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Robertson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Robertson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Robertson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Robertson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Robertson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Robertson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Robertson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Robertson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Robertson,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Robertson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Robertson,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Robertson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Robertson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Robertson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Robertson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Robertson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Robertson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Robertson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Robertson,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Robertson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Robertson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Robertson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Robertson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Robertson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Robertson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Robertson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Robertson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Robertson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Rutherford,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rutherford,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rutherford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Rutherford,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Rutherford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rutherford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rutherford,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Rutherford,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Rutherford,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Rutherford,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Rutherford,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Rutherford,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Rutherford,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rutherford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Rutherford,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Rutherford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rutherford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rutherford,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Rutherford,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Rutherford,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Rutherford,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Rutherford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rutherford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rutherford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rutherford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Rutherford,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Rutherford,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Rutherford,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Rutherford,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Scott,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Scott,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Scott,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Scott,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Scott,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Scott,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Scott,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Scott,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Scott,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Scott,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Scott,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Scott,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Scott,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Scott,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Scott,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Scott,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Scott,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Scott,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Scott,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Scott,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Scott,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Scott,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Scott,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Scott,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Scott,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Scott,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Scott,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Scott,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Scott,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Scott,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Scott,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Scott,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Scott,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Sequatchie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Sequatchie,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sequatchie,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sequatchie,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sequatchie,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Sequatchie,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sequatchie,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sequatchie,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sequatchie,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sequatchie,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Sequatchie,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Sequatchie,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Sequatchie,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sequatchie,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,280,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sequatchie,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sequatchie,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sequatchie,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sequatchie,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Sequatchie,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sequatchie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Sequatchie,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sequatchie,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sequatchie,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sequatchie,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sequatchie,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sequatchie,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sequatchie,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sequatchie,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sequatchie,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sevier,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Sevier,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Sevier,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Sevier,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Sevier,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Sevier,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sevier,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sevier,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sevier,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sevier,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sevier,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sevier,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sevier,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sevier,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sevier,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sevier,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sevier,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Sevier,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Sevier,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sevier,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sevier,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sevier,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sevier,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Sevier,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sevier,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sevier,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sevier,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Sevier,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sevier,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sevier,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sevier,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sevier,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sevier,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sevier,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sevier,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Shelby,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Shelby,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Shelby,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Shelby,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Shelby,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Shelby,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Shelby,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Shelby,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Shelby,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Shelby,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Shelby,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Shelby,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Shelby,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Shelby,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Shelby,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Shelby,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Shelby,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Shelby,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Shelby,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Shelby,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Shelby,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Shelby,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Shelby,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Shelby,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Shelby,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Shelby,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Shelby,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Shelby,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Shelby,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Shelby,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Shelby,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Shelby,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Shelby,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Shelby,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Shelby,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Smith,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Smith,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Smith,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Smith,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Smith,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Smith,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Smith,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Smith,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Smith,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Smith,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Smith,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Smith,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Smith,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Smith,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Smith,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Smith,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Smith,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Smith,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Smith,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Smith,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Smith,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Smith,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Smith,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Smith,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Smith,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Smith,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Smith,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Smith,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Smith,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Smith,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Smith,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Smith,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Smith,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Stewart,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Stewart,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Stewart,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Stewart,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Stewart,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Stewart,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Stewart,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Stewart,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Stewart,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Stewart,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Stewart,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Stewart,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Stewart,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Stewart,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Stewart,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Stewart,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Stewart,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Stewart,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Stewart,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Stewart,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Stewart,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Stewart,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Stewart,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Stewart,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Stewart,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Stewart,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Stewart,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Stewart,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Stewart,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Stewart,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Stewart,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Stewart,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Stewart,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Stewart,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Stewart,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sullivan,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sullivan,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Sullivan,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Sullivan,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Sullivan,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Sullivan,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Sullivan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sullivan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sullivan,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sullivan,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Sullivan,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sullivan,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sullivan,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sullivan,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sullivan,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sullivan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sullivan,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sullivan,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sullivan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Sullivan,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sullivan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sullivan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sullivan,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sullivan,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Sullivan,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sullivan,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Sullivan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Sullivan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sullivan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sullivan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sullivan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sullivan,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sullivan,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sullivan,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sullivan,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Sumner,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sumner,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sumner,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Sumner,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Sumner,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Sumner,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Sumner,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Sumner,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Sumner,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Sumner,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sumner,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sumner,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Sumner,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Sumner,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sumner,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sumner,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Sumner,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Sumner,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Sumner,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sumner,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sumner,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Sumner,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Sumner,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Sumner,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sumner,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sumner,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Sumner,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Sumner,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Sumner,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Sumner,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sumner,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sumner,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sumner,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Sumner,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Sumner,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Sumner,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sumner,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Sumner,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Tipton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Tipton,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Tipton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Tipton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Tipton,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Tipton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Tipton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Tipton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Tipton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Tipton,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Tipton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Tipton,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Tipton,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Tipton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4461,042,0,,,$0.00 ,$27.40 ,$0.00 ,$27.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Tipton,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Tipton,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Tipton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Tipton,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Tipton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Tipton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Tipton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Tipton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Tipton,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Tipton,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Tipton,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Tipton,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Tipton,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Tipton,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Tipton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Tipton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Tipton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Tipton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Tipton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Tipton,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Tipton,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Trousdale,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Trousdale,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Trousdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Trousdale,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Trousdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Trousdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Trousdale,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Trousdale,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Trousdale,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Trousdale,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Trousdale,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Trousdale,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Trousdale,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Trousdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Trousdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Trousdale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Trousdale,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Trousdale,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Trousdale,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Trousdale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Trousdale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Trousdale,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Trousdale,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Trousdale,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Trousdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Trousdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Trousdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Trousdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Trousdale,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Trousdale,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Trousdale,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Trousdale,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Unicoi,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Unicoi,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Unicoi,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Unicoi,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Unicoi,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Unicoi,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Unicoi,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Unicoi,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Unicoi,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Unicoi,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Unicoi,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Unicoi,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Unicoi,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Unicoi,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Unicoi,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Unicoi,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Unicoi,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Unicoi,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Unicoi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Unicoi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Unicoi,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Unicoi,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Unicoi,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Unicoi,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Unicoi,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Unicoi,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Unicoi,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Unicoi,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Unicoi,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Unicoi,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Unicoi,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Unicoi,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Unicoi,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Unicoi,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Unicoi,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Unicoi,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Union,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Union,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Union,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Union,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Union,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Union,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Union,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Union,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Union,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Union,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Union,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Union,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Union,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Union,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Union,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,035,0,,Yes,$0.00 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Union,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Union,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Union,Humana,Local CCP,HumanaChoice H5216-099 (PPO),Local PPO,No,,Enhanced Alternative,H5216,099,0,,,$1.10 ,$53.90 ,$0.00 ,$53.90 ,$12.50 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Union,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Union,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Union,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Union,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Union,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Union,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Union,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Union,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Union,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Union,Devoted Health,Local CCP,Devoted PREMIUM Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,003,0,,,$0.00 ,$22.20 ,$0.00 ,$22.20 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Union,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Union,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Union,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Union,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Union,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Union,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Union,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Union,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Union,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Van Buren,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Van Buren,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Van Buren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Van Buren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Van Buren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Van Buren,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Van Buren,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Van Buren,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Van Buren,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Van Buren,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Van Buren,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Van Buren,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Van Buren,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Van Buren,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Van Buren,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Van Buren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Van Buren,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Van Buren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Van Buren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Van Buren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Van Buren,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Van Buren,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Van Buren,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Van Buren,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Van Buren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Van Buren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Van Buren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Van Buren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Van Buren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Van Buren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Van Buren,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Van Buren,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Van Buren,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Van Buren,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Warren,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Warren,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Warren,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Warren,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Warren,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Warren,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Warren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Warren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Warren,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Warren,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Warren,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Warren,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Warren,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Warren,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Warren,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Warren,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Warren,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Warren,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Warren,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Warren,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Warren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Warren,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Warren,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Warren,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Warren,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Warren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Warren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Warren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Warren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Warren,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Warren,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Warren,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Warren,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Warren,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Washington,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Washington,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Washington,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Washington,Signature Advantage (HMO SNP),Local CCP,Signature Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2400,001,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Tennessee,Washington,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Washington,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Washington,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Washington,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Washington,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Washington,Humana,Local CCP,Humana Gold Plus H4461-035 (HMO),HMO,No,,Enhanced Alternative,H4461,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Washington,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Washington,Humana,Local CCP,Humana Gold Plus H4461-040 (HMO),HMO,No,,Enhanced Alternative,H4461,040,0,,,$51.80 ,$47.20 ,$0.00 ,$47.20 ,$5.80 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Washington,Humana,Local CCP,Humana Gold Plus H4461-041 (HMO),HMO,No,,Enhanced Alternative,H4461,041,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,059,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Washington,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Washington,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Washington,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Washington,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Washington,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Washington,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Washington,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Washington,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Washington,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Washington,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,011,0,,,$48.40 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Washington,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,015,0,,,$0.00 ,$47.00 ,$0.00 ,$47.00 ,$5.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Washington,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Washington,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,037,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Washington,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Washington,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Washington,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Washington,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wayne,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Wayne,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Wayne,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Wayne,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Wayne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wayne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wayne,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Wayne,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Wayne,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wayne,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wayne,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wayne,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wayne,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Wayne,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Wayne,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Wayne,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wayne,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wayne,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wayne,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wayne,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Wayne,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wayne,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wayne,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Wayne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wayne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wayne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wayne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wayne,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Wayne,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wayne,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wayne,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Wayne,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Wayne,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Weakley,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Weakley,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Weakley,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Weakley,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Weakley,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Weakley,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Weakley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2577,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Weakley,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,013,0,,,$0.00 ,$21.00 ,$0.00 ,$21.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Weakley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Weakley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Weakley,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Weakley,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Weakley,Humana,Local CCP,Humana Gold Plus H4461-025 (HMO),HMO,No,,Enhanced Alternative,H4461,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Weakley,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Weakley,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Weakley,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Weakley,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Weakley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,081,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Weakley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,082,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Weakley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Weakley,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Weakley,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Weakley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Weakley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Weakley,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Weakley,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Weakley,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Weakley,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Weakley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Weakley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,012,0,,,$57.30 ,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Weakley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Weakley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,034,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$17.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Weakley,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Weakley,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,White,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,White,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,White,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,White,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,White,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,White,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,White,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,White,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,White,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,White,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,White,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,White,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,White,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,White,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,White,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,White,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,White,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,White,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,White,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,White,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,White,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,White,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,White,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,White,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,White,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,White,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,White,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,White,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,White,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,White,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,White,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,White,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,010,0,,,$119.90 ,$29.10 ,$0.00 ,$29.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,White,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,014,0,,,$40.20 ,$51.80 ,$0.00 ,$51.80 ,$10.40 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,White,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Sapphire (PPO),Local PPO,No,,Enhanced Alternative,H7917,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,White,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,036,0,,,$12.70 ,$32.30 ,$0.00 ,$32.30 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,White,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,White,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,White,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,White,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Williamson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Williamson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Williamson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,004,0,,Yes,$0.00 ,$32.10 ,$0.00 ,$32.10 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Williamson,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,070,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Tennessee,Williamson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Williamson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Williamson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Williamson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Williamson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Williamson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Williamson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Williamson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Williamson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Williamson,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Williamson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Williamson,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Williamson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Williamson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Williamson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,141,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,321,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Williamson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Williamson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Williamson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Williamson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Williamson,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Williamson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Williamson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Williamson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Williamson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Williamson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Williamson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Williamson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Williamson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Williamson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Tennessee,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-S001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0251,004,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wilson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1416,035,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Tennessee,Wilson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H1416,042,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$365.00 ,1,,,3.0,3.0,3.0
Tennessee,Wilson,Wellcare,Local CCP,Wellcare No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1416,077,0,,,$0.00 ,($5.20),$5.20 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.0,3.0
Tennessee,Wilson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1416,079,0,,,$0.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Tennessee,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Tennessee,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO),HMO,No,,Enhanced Alternative,H3146,012,0,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.5,4.0
Tennessee,Wilson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,001,0,,Yes,$0.00 ,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wilson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,002,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wilson,BlueCare Plus Tennessee,Local CCP,BlueCare Plus Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3259,003,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Tennessee,Wilson,NHC Advantage,Local CCP,NHC Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4172,001,0,,Yes,$0.00 ,$42.50 ,$0.00 ,$42.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Tennessee,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,022,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Wilson,Humana,Local CCP,Humana Gold Plus H4461-029 (HMO),HMO,No,,Enhanced Alternative,H4461,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4461,038,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,5.0,4.0,5.0
Tennessee,Wilson,Humana,Local CCP,Humana Gold Plus H4461-039 (HMO),HMO,No,,Enhanced Alternative,H4461,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,5.0,4.0,5.0
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna TotalCare Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,034,0,,Yes,$0.00 ,$30.40 ,$0.00 ,$30.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna Premier Medicare (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4513,036,0,,,$16.30 ,$38.70 ,$0.00 ,$38.70 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,049,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna Primary Medicare (HMO),HMO,No,,Defined Standard Benefit,H4513,053,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,068,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,4.5,4.0,4.0
Tennessee,Wilson,Farm Bureau Health Plans,Local CCP,Farm Bureau Advantage (HMO),HMO,No,,Enhanced Alternative,H4863,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,Humana,Local CCP,HumanaChoice H5216-097 (PPO),Local PPO,No,,Enhanced Alternative,H5216,097,0,,,$0.00 ,$53.00 ,$0.00 ,$53.00 ,$12.30 ,$150.00 ,1,,,4.5,4.0,4.5
Tennessee,Wilson,Humana,Local CCP,Humana Value Plus H5216-180 (PPO),Local PPO,No,,Basic Alternative,H5216,180,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Wilson,Humana,Local CCP,HumanaChoice H5216-274 (PPO),Local PPO,No,,Enhanced Alternative,H5216,274,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Tennessee,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TN-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,084,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Tennessee,Wilson,UnitedHealthcare,Local CCP,UHC Complete Care TC-0005 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5253,136,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Tennessee,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,254,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wilson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,445,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Tennessee,Wilson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,001,0,,Yes,$0.00 ,$38.80 ,$0.00 ,$38.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wilson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5828,002,0,,Yes,$0.00 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wilson,Wellpoint,Local CCP,Wellpoint Extra Help (HMO),HMO,No,,Enhanced Alternative,H5828,008,0,,,$0.00 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Tennessee,Wilson,Wellpoint,Local CCP,Wellpoint Medicare Advantage (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5828,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.5
Tennessee,Wilson,Devoted Health,Local CCP,Devoted BE WELL PLUS Tennessee (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H7605,006,0,,Yes,$0.00 ,$27.80 ,$0.00 ,$27.80 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,Devoted Health,Local CCP,Devoted CORE Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,Devoted Health,Local CCP,Devoted GIVEBACK Tennessee (HMO),HMO,No,,Enhanced Alternative,H7605,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,American Health Advantage of Tennessee,Local CCP,American Health Advantage of Tennessee (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H7779,001,0,,Yes,$0.00 ,$41.40 ,$0.00 ,$41.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Tennessee,Wilson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,133,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Tennessee,Wilson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Diamond (PPO),Local PPO,No,,Enhanced Alternative,H7917,009,0,,,$118.10 ,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wilson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Ruby (PPO),Local PPO,No,,Enhanced Alternative,H7917,013,0,,,$68.50 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wilson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Garnet (PPO),Local PPO,No,,Enhanced Alternative,H7917,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wilson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Emerald (PPO),Local PPO,No,,Enhanced Alternative,H7917,035,0,,,$36.20 ,$22.80 ,$0.00 ,$22.80 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Tennessee,Wilson,BlueCross BlueShield of Tennessee,Local CCP,BlueAdvantage Extra (PPO),Local PPO,No,,Defined Standard Benefit,H7917,041,0,,Yes,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Tennessee,Wilson,Devoted Health,Local CCP,Devoted CHOICE Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Tennessee (PPO),Local PPO,No,,Enhanced Alternative,H9231,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Tennessee,Wilson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,001,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Wilson,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H9428,002,0,,,$0.00 ,($9.00),$9.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.0,2.5,2.5
Tennessee,Wilson,Humana,Regional CCP,HumanaChoice R7315-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R7315,002,0,,,$16.30 ,$58.70 ,$0.00 ,$58.70 ,$17.30 ,$545.00 ,,,,3.5,3.5,3.5
Texas,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,013,0,Yes,Yes,,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Texas,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,155,0,Yes,,,($18.10),$18.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Texas,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,225,0,Yes,,,$33.20 ,$45.70 ,$78.90 ,$50.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Texas,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,044,0,Yes,,,$40.50 ,$0.00 ,$40.50 ,$12.10 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,045,0,Yes,,,$40.30 ,$58.10 ,$98.40 ,$70.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,197,0,Yes,,,$7.40 ,$2.40 ,$9.80 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,108,0,Yes,,,$44.00 ,$0.00 ,$44.00 ,$15.60 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,267,0,Yes,,,$70.90 ,$10.90 ,$81.80 ,$53.40 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,372,0,Yes,,,$0.60 ,$16.50 ,$17.10 ,$16.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Texas,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Value (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,005,0,,,,$78.90 ,$15.10 ,$94.00 ,$65.60 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Texas,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Basic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5715,014,0,,,,$79.00 ,$0.00 ,$79.00 ,$50.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Texas,(All Counties),"Blue Cross and Blue Shield of IL, NM, OK, TX",PDP,Blue Cross MedicareRx Choice (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5715,021,0,,,,$15.10 ,$10.50 ,$25.60 ,$10.50 ,$545.00 ,1,,,Not Applicable,3.5,Not Applicable
Texas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,021,0,Yes,,,$71.30 ,$30.60 ,$101.90 ,$73.50 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Texas,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,143,0,Yes,,,$51.30 ,$0.00 ,$51.30 ,$22.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Texas,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,168,0,Yes,,,$77.60 ,$30.70 ,$108.30 ,$79.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Texas,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,201,0,Yes,,,$40.80 ,$6.30 ,$47.10 ,$18.70 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Texas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Saver from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,367,0,Yes,,,$67.90 ,$0.00 ,$67.90 ,$39.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Texas,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,403,0,Yes,,,$47.20 ,$7.00 ,$54.20 ,$25.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Texas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,021,0,,,,$99.90 ,$0.00 ,$99.90 ,$71.50 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Texas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,091,0,,,,$61.50 ,$15.60 ,$77.10 ,$48.70 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Texas,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,124,0,,,,($4.90),$28.60 ,$23.70 ,$23.70 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Texas,Anderson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Anderson,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Anderson,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Anderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Anderson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Anderson,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Anderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Anderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Anderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Anderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Anderson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Anderson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Anderson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Anderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Anderson,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Anderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Anderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Anderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Anderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Anderson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Anderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Anderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Anderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Anderson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Anderson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Anderson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Anderson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Anderson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Anderson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Andrews,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Andrews,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Andrews,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Andrews,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Andrews,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Andrews,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Andrews,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Andrews,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Andrews,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Andrews,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Andrews,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Andrews,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Andrews,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Andrews,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Andrews,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Andrews,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Andrews,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Andrews,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Andrews,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Angelina,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Angelina,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Angelina,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Angelina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Angelina,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Angelina,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Angelina,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Angelina,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Angelina,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Angelina,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Angelina,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Angelina,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Angelina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Angelina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Angelina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Angelina,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Angelina,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Angelina,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Angelina,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Angelina,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Angelina,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Angelina,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Angelina,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Angelina,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Aransas,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Aransas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Aransas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Aransas,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Aransas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Aransas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Aransas,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Aransas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Aransas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,075,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Aransas,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Aransas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Aransas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Aransas,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Aransas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Aransas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Aransas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Aransas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Aransas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Aransas,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Aransas,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Aransas,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Aransas,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Aransas,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Aransas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Aransas,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Aransas,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Aransas,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Aransas,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Aransas,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Aransas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Aransas,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Aransas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Aransas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Aransas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Aransas,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Aransas,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Aransas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Aransas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Aransas,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Aransas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Archer,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Archer,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Archer,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Archer,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Archer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Archer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Archer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Archer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Archer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Archer,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Archer,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Archer,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Archer,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Archer,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Archer,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Archer,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Archer,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Archer,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Archer,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Archer,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Archer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Armstrong,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Armstrong,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Armstrong,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Armstrong,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Armstrong,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Armstrong,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Armstrong,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Armstrong,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Armstrong,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Armstrong,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Armstrong,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Armstrong,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Armstrong,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Armstrong,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Armstrong,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Armstrong,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Armstrong,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Armstrong,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Atascosa,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Atascosa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Atascosa,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Atascosa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Atascosa,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Atascosa,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Atascosa,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Atascosa,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Atascosa,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Atascosa,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Atascosa,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Atascosa,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Atascosa,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Atascosa,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Atascosa,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Atascosa,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Atascosa,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Atascosa,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Atascosa,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Atascosa,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Atascosa,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Atascosa,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Atascosa,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Atascosa,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Atascosa,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Atascosa,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Atascosa,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Atascosa,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Atascosa,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Atascosa,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Atascosa,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Atascosa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Atascosa,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Atascosa,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Atascosa,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Atascosa,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Atascosa,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Atascosa,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Atascosa,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Atascosa,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Austin,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Austin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Austin,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Austin,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Austin,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Austin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Austin,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Austin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Austin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Austin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Austin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Austin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Austin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Austin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Austin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Austin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Austin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Austin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Austin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Austin,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Austin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Austin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Austin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Austin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Austin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Austin,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Austin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Austin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Austin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Austin,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Austin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Austin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Austin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Austin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bailey,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bailey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bailey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bailey,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bailey,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Bailey,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bailey,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Bailey,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bailey,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bailey,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bailey,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bailey,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bailey,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bailey,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bailey,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bailey,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bandera,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bandera,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bandera,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bandera,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bandera,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bandera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bandera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Bandera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bandera,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bandera,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bandera,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bandera,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bandera,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Bandera,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Bandera,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Bandera,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Bandera,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bandera,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Bandera,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Bandera,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bandera,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bandera,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bandera,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Bandera,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Bandera,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bandera,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bandera,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Bandera,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Bandera,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Bandera,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Bandera,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Bandera,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Bandera,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bandera,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bandera,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bandera,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bandera,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Bandera,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bandera,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Bandera,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bandera,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bandera,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bandera,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bandera,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bandera,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bandera,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bastrop,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bastrop,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bastrop,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Bastrop,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Bastrop,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Bastrop,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bastrop,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bastrop,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Bastrop,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Bastrop,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Bastrop,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Bastrop,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bastrop,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bastrop,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bastrop,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Bastrop,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Bastrop,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Bastrop,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Bastrop,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bastrop,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bastrop,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Bastrop,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bastrop,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bastrop,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bastrop,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Baylor,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Baylor,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Baylor,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Baylor,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Baylor,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Baylor,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Baylor,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Baylor,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Baylor,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Baylor,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Baylor,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Baylor,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Baylor,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Baylor,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Baylor,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Baylor,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Baylor,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bee,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bee,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,5.0,4.5
Texas,Bee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Bee,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bee,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Bee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Bee,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Bee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Bee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bee,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Bee,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bee,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bee,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bee,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bee,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bee,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Bee,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bee,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bee,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Bee,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bee,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bee,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bell,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Bell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Bell,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Bell,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bell,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Bell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bell,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bell,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Bell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Bell,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bell,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Bell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bexar,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bexar,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bexar,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bexar,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,020,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Bexar,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Bexar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,001,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Bexar,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Bexar,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Bexar,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Bexar,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Bexar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bexar,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bexar,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Bexar,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Bexar,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bexar,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bexar,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bexar,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Bexar,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Bexar,Community First,Local CCP,Community First Medicare Advantage Alamo Plan (HMO),HMO,No,,Enhanced Alternative,H5447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Texas,Bexar,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Bexar,Superior HealthPlan,Demo,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6870,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Bexar,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Bexar,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Bexar,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Bexar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Bexar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Bexar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Bexar,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bexar,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bexar,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bexar,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Bexar,Molina Healthcare of Texas,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8197,002,2,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bexar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Bexar,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bexar,Wellpoint STAR+PLUS MMP,Demo,Wellpoint STAR+PLUS MMP (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8786,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Select (HMO),HMO,No,,Enhanced Alternative,H8849,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bexar,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H8902,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8902,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8902,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H8902,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H8902,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bexar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bexar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bexar,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bexar,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bexar,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bexar,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Blanco,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Blanco,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Blanco,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Blanco,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Blanco,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Blanco,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Blanco,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Blanco,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Blanco,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Blanco,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Blanco,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Blanco,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Blanco,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Blanco,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Blanco,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Blanco,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Blanco,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Blanco,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Blanco,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Blanco,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Blanco,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Blanco,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Blanco,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Blanco,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Blanco,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Blanco,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Blanco,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Borden,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Borden,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Borden,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Borden,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Borden,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Borden,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Borden,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Borden,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Borden,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Borden,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Borden,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Borden,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Borden,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Borden,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Borden,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Borden,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Borden,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Borden,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Borden,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Borden,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Borden,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bosque,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Bosque,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bosque,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bosque,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bosque,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bosque,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bosque,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bosque,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bosque,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bosque,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bosque,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Bosque,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bosque,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bosque,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Bosque,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bosque,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Bosque,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bosque,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bosque,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bosque,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bosque,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bosque,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bowie,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bowie,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bowie,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Bowie,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bowie,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Bowie,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Bowie,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bowie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Bowie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Bowie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Bowie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bowie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bowie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Bowie,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Bowie,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Bowie,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Bowie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bowie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Bowie,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Bowie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Bowie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Bowie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Bowie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Bowie,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bowie,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bowie,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bowie,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Bowie,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Bowie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Brazoria,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Brazoria,KelseyCare Advantage,Local CCP,KelseyCare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H0332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Brazoria,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Brazoria,KelseyCare Advantage,Local CCP,KelseyCare Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H0332,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Brazoria,KelseyCare Advantage,Local CCP,KelseyCare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H0332,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Brazoria,KelseyCare Advantage,Local CCP,KelseyCare Advantage Thrive (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Brazoria,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Brazoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Brazoria,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Brazoria,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Brazoria,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Brazoria,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Brazoria,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Brazoria,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Brazoria,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Brazoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Brazoria,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Brazoria,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Brazoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Brazoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Brazoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazoria,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Brazoria,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Brazoria,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Brazoria,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7115,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Brazoria,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Brazoria,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Brazoria,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Brazoria,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Brazoria,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Brazoria,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Brazoria,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Brazoria,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Brazoria,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Brazoria,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Brazoria,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Brazoria,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Brazoria,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Brazoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Brazoria,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Brazoria,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brazoria,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazoria,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brazoria,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Brazos,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Brazos,Humana,Local CCP,Humana Gold Plus H0783-003 (HMO),HMO,No,,Enhanced Alternative,H0783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Brazos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Brazos,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Brazos,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Brazos,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Brazos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Brazos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Brazos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brazos,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Brazos,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Brazos,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Brazos,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Brazos,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Brazos,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Brazos,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Brazos,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Brazos,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brazos,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brazos,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brazos,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brazos,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brewster,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Brewster,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brewster,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brewster,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brewster,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brewster,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Brewster,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Brewster,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brewster,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brewster,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brewster,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brewster,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brewster,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Briscoe,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Briscoe,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Briscoe,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Briscoe,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Briscoe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Briscoe,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Briscoe,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Briscoe,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Briscoe,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Briscoe,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Briscoe,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Briscoe,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Briscoe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brooks,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Brooks,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Brooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Brooks,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Brooks,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Brooks,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brooks,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brooks,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Brooks,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brooks,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Brooks,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Brooks,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Brooks,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brooks,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Brooks,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Brooks,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Brooks,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Brooks,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Brooks,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Brooks,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Brooks,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Brooks,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Brooks,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Brooks,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brooks,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brooks,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brooks,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brooks,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brooks,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brooks,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brown,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Brown,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Brown,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Brown,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Brown,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Brown,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brown,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brown,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brown,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Brown,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Brown,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burleson,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Burleson,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Burleson,Humana,Local CCP,Humana Gold Plus H0783-003 (HMO),HMO,No,,Enhanced Alternative,H0783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Burleson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burleson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Burleson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Burleson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Burleson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Burleson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Burleson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Burleson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burleson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Burleson,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Burleson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Burleson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Burleson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burleson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burleson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Burleson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burleson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Burleson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Burnet,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Burnet,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Burnet,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Burnet,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Burnet,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Burnet,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Burnet,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Burnet,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Burnet,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Burnet,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Burnet,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Burnet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Burnet,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Burnet,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Burnet,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Burnet,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Burnet,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Burnet,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Burnet,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Burnet,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Burnet,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Burnet,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Burnet,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Burnet,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Burnet,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Burnet,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Burnet,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Burnet,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Burnet,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Caldwell,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Caldwell,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Caldwell,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Caldwell,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Caldwell,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Caldwell,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Caldwell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Caldwell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Caldwell,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Caldwell,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Caldwell,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Caldwell,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Caldwell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Caldwell,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Caldwell,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Caldwell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Caldwell,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Caldwell,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Caldwell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Caldwell,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Caldwell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Caldwell,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Caldwell,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Caldwell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Caldwell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Caldwell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Caldwell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Caldwell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Calhoun,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Calhoun,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Calhoun,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Calhoun,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Calhoun,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Calhoun,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Calhoun,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Calhoun,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Calhoun,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Calhoun,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Calhoun,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Calhoun,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Calhoun,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Calhoun,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Calhoun,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Calhoun,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Calhoun,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Callahan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Callahan,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Callahan,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Callahan,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Callahan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Callahan,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Callahan,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Callahan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Callahan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Callahan,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Callahan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cameron,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Cameron,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,045,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cameron,Humana,Local CCP,Humana Gold Plus H0028-046 (HMO),HMO,No,,Enhanced Alternative,H0028,046,0,,,$0.00 ,($3.80),$3.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Cameron,Humana,Local CCP,Humana Gold Plus H0783-002 (HMO),HMO,No,,Enhanced Alternative,H0783,002,0,,,$8.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Cameron,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Cameron,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,053,0,,Yes,$0.00 ,$23.60 ,$0.00 ,$23.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cameron,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,2,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Cameron,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Cameron,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H4527,015,0,,,$0.00 ,($6.50),$6.50 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.5,4.5
Texas,Cameron,UnitedHealthcare,Local CCP,UHC Complete Care TX-0019 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,042,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Cameron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Cameron,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Cameron,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cameron,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cameron,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cameron,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Cameron,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cameron,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Cameron,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cameron,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Cameron,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cameron,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cameron,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Cameron,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Cameron,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cameron,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5322,026,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.0,4.0
Texas,Cameron,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Cameron,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Cameron,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Cameron,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Cameron,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Cameron,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Cameron,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Cameron,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Cameron,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Cameron,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Cameron,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cameron,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Cameron,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Cameron,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cameron,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Cameron,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cameron,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cameron,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cameron,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cameron,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cameron,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cameron,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Camp,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Camp,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Camp,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Camp,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Camp,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Camp,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Camp,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Camp,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Camp,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Camp,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Camp,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Camp,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Camp,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Camp,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Camp,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Camp,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Camp,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Camp,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Camp,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Camp,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Camp,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Camp,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Camp,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Camp,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Camp,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Camp,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Camp,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Camp,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Camp,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Camp,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Carson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Carson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Carson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Carson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Carson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Carson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Carson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Carson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Carson,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Carson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Carson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Carson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Carson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Carson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Carson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Carson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Carson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Carson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Carson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Carson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cass,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cass,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Cass,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cass,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cass,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Cass,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cass,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Cass,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Cass,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Cass,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cass,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cass,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cass,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cass,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Cass,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cass,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cass,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Cass,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Cass,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Cass,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Cass,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cass,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cass,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Cass,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Cass,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cass,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cass,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cass,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cass,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cass,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Castro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Castro,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Castro,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Castro,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Castro,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Castro,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Castro,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Castro,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Castro,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Castro,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Castro,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Castro,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Castro,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Castro,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Castro,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Castro,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Castro,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Castro,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Castro,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Castro,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Castro,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Castro,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Chambers,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Chambers,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Chambers,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Chambers,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Chambers,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Chambers,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Chambers,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Chambers,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Chambers,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Chambers,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Chambers,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Chambers,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Chambers,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Chambers,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Chambers,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Chambers,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Chambers,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Chambers,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Chambers,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Chambers,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Chambers,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Chambers,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Chambers,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Chambers,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Chambers,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Chambers,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Chambers,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Chambers,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Chambers,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cherokee,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Cherokee,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cherokee,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Cherokee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cherokee,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cherokee,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Cherokee,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cherokee,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Cherokee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cherokee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cherokee,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Cherokee,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Cherokee,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Cherokee,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Cherokee,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Cherokee,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Cherokee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cherokee,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cherokee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cherokee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cherokee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Cherokee,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cherokee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cherokee,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cherokee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Childress,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Childress,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Childress,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Childress,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Childress,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Childress,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Clay,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Clay,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Clay,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Clay,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Clay,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Clay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Clay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Clay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Clay,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Clay,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Clay,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Clay,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Clay,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Clay,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Clay,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Clay,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Clay,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Cochran,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cochran,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cochran,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Cochran,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Cochran,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cochran,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Cochran,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cochran,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Cochran,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Cochran,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cochran,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cochran,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cochran,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cochran,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cochran,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coke,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Coke,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coke,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Coke,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coke,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coke,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coke,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coke,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coke,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Coke,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Coke,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Coke,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Coke,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coke,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Coke,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Coke,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coke,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coke,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coke,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coke,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coke,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coleman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coleman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Coleman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coleman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coleman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coleman,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Coleman,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Coleman,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Coleman,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Coleman,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Coleman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coleman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Coleman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Coleman,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coleman,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coleman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coleman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coleman,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coleman,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Collin,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Collin,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Collin,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Collin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Collin,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Collin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Collin,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Collin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Collin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Collin,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Collin,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Care N' Care Insurance Company,Local CCP,Southwestern Health Select (HMO),HMO,No,,Enhanced Alternative,H2171,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Collin,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,002,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Collin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Collin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Collin,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Collin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Collin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Collin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Collin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H4801,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Collin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Collin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Collin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Collin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Collin,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Collin,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Collin,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Collin,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Collin,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Collin,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Collin,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Collin,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Collin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Collin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Collin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Collin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Collin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Collin,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7787,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Texas,Collin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Collin,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Collin,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Collin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Collin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Collin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Collin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Collin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collingsworth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Collingsworth,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Collingsworth,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collingsworth,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collingsworth,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Collingsworth,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Collingsworth,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Collingsworth,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Colorado,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Colorado,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Colorado,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Colorado,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Colorado,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Colorado,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Colorado,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Colorado,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Colorado,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Colorado,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Colorado,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Colorado,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Colorado,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Colorado,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Colorado,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Colorado,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Colorado,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Colorado,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Colorado,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Colorado,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Colorado,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Colorado,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Colorado,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Colorado,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Colorado,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Colorado,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Colorado,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Colorado,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Colorado,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Colorado,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Comal,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Comal,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Comal,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,020,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Comal,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Comal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Comal,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Comal,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Comal,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Comal,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,001,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Comal,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Comal,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Comal,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Comal,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Comal,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Comal,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Comal,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Comal,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Comal,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Comal,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Comal,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Comal,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Comal,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Comal,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Comal,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Comal,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Comal,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Comal,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Comal,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Comal,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Comal,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Comal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Comal,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Comal,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Comal,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Comal,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Comal,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Comal,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Comal,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comal,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Comal,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comanche,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comanche,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Comanche,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Comanche,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Comanche,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Comanche,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Comanche,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comanche,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comanche,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Comanche,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Comanche,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Comanche,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Concho,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Concho,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Concho,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Concho,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Concho,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Concho,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Concho,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Concho,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Concho,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Concho,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Concho,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Concho,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Concho,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Concho,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Concho,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Concho,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cooke,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Cooke,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Cooke,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Cooke,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Cooke,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Cooke,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Cooke,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cooke,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Cooke,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cooke,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cooke,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Cooke,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Cooke,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Cooke,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Cooke,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cooke,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Cooke,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Cooke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Cooke,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cooke,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Cooke,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Cooke,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Cooke,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Cooke,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Cooke,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Cooke,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Cooke,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Cooke,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Cooke,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Cooke,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Cooke,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Cooke,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Cooke,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Cooke,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cooke,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cooke,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Cooke,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cooke,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cooke,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cooke,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Coryell,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Coryell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Coryell,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Coryell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Coryell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coryell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coryell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Coryell,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Coryell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Coryell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Coryell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Coryell,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Coryell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Coryell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Coryell,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Coryell,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Coryell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Coryell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coryell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Coryell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Coryell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cottle,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cottle,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cottle,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cottle,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Cottle,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Cottle,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crane,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crane,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Crane,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Crane,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crane,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crane,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crane,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crane,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Crane,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Crane,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crane,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crane,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crane,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crane,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crane,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crockett,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crockett,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crockett,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crockett,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crockett,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crockett,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crockett,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crosby,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Crosby,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Crosby,Humana,Local CCP,Humana Gold Plus H0783-004 (HMO),HMO,No,,Enhanced Alternative,H0783,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Crosby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Crosby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Crosby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crosby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crosby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Crosby,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Crosby,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Crosby,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Crosby,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Crosby,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Crosby,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Crosby,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Crosby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Crosby,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crosby,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crosby,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crosby,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Crosby,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Crosby,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Culberson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Culberson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Culberson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Culberson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Culberson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Culberson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Culberson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Culberson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Culberson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Culberson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Culberson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Culberson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Culberson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Culberson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallam,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallam,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Dallam,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallam,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallam,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallam,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallam,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Dallam,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Dallam,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallam,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallam,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dallam,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallam,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dallam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dallas,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Dallas,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Dallas,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Dallas,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Dallas,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Dallas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Dallas,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Dallas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Dallas,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Care N' Care Insurance Company,Local CCP,Southwestern Health Select (HMO),HMO,No,,Enhanced Alternative,H2171,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,002,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Dallas,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Dallas,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Dallas,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Dallas,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Dallas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Dallas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Dallas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H4801,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallas,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dallas,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Dallas,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Dallas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Dallas,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Dallas,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Dallas,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Dallas,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Dallas,Superior HealthPlan,Demo,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6870,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Dallas,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Dallas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Dallas,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Dallas,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Dallas,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Dallas,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Dallas,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7787,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Texas,Dallas,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Dallas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Dallas,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Dallas,Molina Healthcare of Texas,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8197,002,1,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dallas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Dallas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Dallas,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dallas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dallas,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dallas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dawson,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Dawson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Dawson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dawson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Dawson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dawson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dawson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dawson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Dawson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dawson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dawson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dawson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Dawson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Dawson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dawson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dawson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dawson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dawson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dawson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,DeWitt,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,DeWitt,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,DeWitt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,DeWitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,DeWitt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,DeWitt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,DeWitt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,DeWitt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,DeWitt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,DeWitt,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,DeWitt,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,DeWitt,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,DeWitt,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,DeWitt,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,DeWitt,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,DeWitt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,DeWitt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,DeWitt,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,DeWitt,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,DeWitt,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,DeWitt,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,DeWitt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,DeWitt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,DeWitt,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,DeWitt,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Deaf Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Deaf Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Deaf Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Deaf Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Deaf Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Deaf Smith,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Deaf Smith,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Deaf Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Deaf Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Deaf Smith,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Deaf Smith,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Deaf Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Deaf Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Deaf Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Deaf Smith,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Deaf Smith,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Deaf Smith,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Deaf Smith,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Delta,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Delta,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Delta,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Delta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Delta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Delta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Delta,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Delta,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Delta,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Delta,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Delta,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Delta,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Delta,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Delta,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Delta,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Delta,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Delta,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Delta,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Delta,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Delta,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Delta,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Delta,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Delta,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Delta,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Delta,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Delta,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Delta,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Delta,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Delta,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Delta,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Delta,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Delta,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Delta,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Delta,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Denton,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Denton,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Denton,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Denton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Denton,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Denton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Denton,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Denton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Denton,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Denton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Denton,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Denton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Denton,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Care N' Care Insurance Company,Local CCP,Southwestern Health Select (HMO),HMO,No,,Enhanced Alternative,H2171,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Denton,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,002,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Denton,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Denton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Denton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Denton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Denton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Denton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Denton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Denton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H4801,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Denton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Denton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Denton,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Denton,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Denton,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Denton,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Denton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Denton,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Denton,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Denton,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Denton,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Denton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Denton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Denton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Denton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Denton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Denton,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7787,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Texas,Denton,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Denton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Denton,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Denton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Denton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Denton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Denton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Denton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Denton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Denton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dickens,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Dickens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dickens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dickens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dickens,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Dickens,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Dickens,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Dickens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Dickens,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dickens,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dickens,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dickens,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dickens,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dickens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dimmit,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dimmit,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Dimmit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Dimmit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Dimmit,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Dimmit,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dimmit,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dimmit,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Dimmit,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Dimmit,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Dimmit,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Dimmit,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dimmit,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dimmit,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Dimmit,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Dimmit,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dimmit,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Dimmit,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Dimmit,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dimmit,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dimmit,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dimmit,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Dimmit,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Dimmit,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Donley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Donley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Donley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Donley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Donley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Donley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Donley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Donley,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Donley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Donley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Donley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Donley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Donley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Donley,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Donley,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Donley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Donley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Donley,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Donley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Duval,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Duval,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Duval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Duval,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Duval,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Duval,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Duval,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Duval,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Duval,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Duval,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Duval,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Duval,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Duval,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Duval,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Duval,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Duval,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Duval,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Duval,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Duval,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Duval,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Duval,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Duval,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Duval,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Duval,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Duval,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Duval,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Eastland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Eastland,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Eastland,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Eastland,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Eastland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Eastland,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Eastland,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Eastland,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Eastland,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Eastland,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Eastland,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Eastland,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Eastland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ector,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Ector,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Ector,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Ector,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ector,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Ector,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Ector,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Ector,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ector,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ector,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ector,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Ector,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Ector,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Ector,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Ector,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ector,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ector,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Ector,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Ector,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Ector,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Ector,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Ector,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Ector,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ector,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ector,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ector,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ector,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ector,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Edwards,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Edwards,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Edwards,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Edwards,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Edwards,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Edwards,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Edwards,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Edwards,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Edwards,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Edwards,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Edwards,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Edwards,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Edwards,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,El Paso,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,El Paso,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,034,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,El Paso,Humana,Local CCP,Humana Gold Plus H0028-035 (HMO),HMO,No,,Enhanced Alternative,H0028,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Texas,El Paso,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,El Paso,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,El Paso,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,021,0,,,$0.00 ,($7.70),$7.70 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,El Paso,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2406,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Texas,El Paso,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H2406,050,0,,Yes,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Texas,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2406,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.5,4.0
Texas,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC EP-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2406,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,049,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,El Paso,El Paso Health Medicare Advantage,Local CCP,El Paso Health Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3407,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,El Paso,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,El Paso,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,3,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,El Paso,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,El Paso,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,3,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,El Paso,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,El Paso,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,006,0,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,El Paso,UnitedHealthcare,Local CCP,UHC Complete Care TX-0017 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,El Paso,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,El Paso,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,El Paso,Humana,Local CCP,HumanaChoice H5216-353 (PPO),Local PPO,No,,Enhanced Alternative,H5216,353,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,El Paso,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,El Paso,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5472,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,El Paso,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5472,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,El Paso,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5472,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,El Paso,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5472,004,0,,Yes,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,El Paso,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,El Paso,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,El Paso,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,El Paso,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,El Paso,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,El Paso,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,El Paso,Devoted Health,Local CCP,Devoted CORE El Paso (HMO),HMO,No,,Enhanced Alternative,H7993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,El Paso,Devoted Health,Local CCP,Devoted GIVEBACK El Paso (HMO),HMO,No,,Enhanced Alternative,H7993,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,El Paso,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,El Paso,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,El Paso,Molina Healthcare of Texas,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8197,002,1,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,El Paso,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,El Paso,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,El Paso,Wellpoint STAR+PLUS MMP,Demo,Wellpoint STAR+PLUS MMP (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8786,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,4,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,4,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H9614,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,El Paso,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,El Paso,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,El Paso,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,El Paso,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,El Paso,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,El Paso,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,El Paso,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Ellis,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Ellis,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Ellis,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Ellis,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Ellis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Ellis,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Ellis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Ellis,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Ellis,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Ellis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Ellis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Ellis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ellis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ellis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Ellis,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Ellis,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Ellis,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Ellis,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Ellis,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Ellis,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Ellis,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Ellis,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Ellis,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Ellis,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Ellis,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Ellis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Ellis,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Ellis,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Ellis,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Ellis,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Ellis,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Ellis,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Ellis,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Ellis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Ellis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Ellis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Ellis,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ellis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ellis,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ellis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Erath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Erath,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Erath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Erath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Erath,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Erath,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Erath,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Erath,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Erath,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Erath,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Erath,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Erath,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Erath,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Erath,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Erath,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Erath,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Erath,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Erath,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Erath,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Erath,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Erath,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Erath,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Erath,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Erath,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Erath,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Erath,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Erath,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Erath,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Erath,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Erath,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Erath,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Erath,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Erath,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Falls,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Falls,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Falls,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Falls,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Falls,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Falls,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Falls,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Falls,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Falls,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Falls,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Falls,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Falls,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Falls,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Falls,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Falls,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Falls,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fannin,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fannin,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Fannin,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fannin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fannin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fannin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Fannin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Fannin,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Fannin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fannin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fannin,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Fannin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Fannin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Fannin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Fannin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Fannin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Fannin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Fannin,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Fannin,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Fannin,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Fannin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fannin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fannin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fannin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fannin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fayette,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fayette,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fayette,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Fayette,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fayette,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Fayette,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Fayette,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Fayette,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fayette,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fayette,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fayette,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Fayette,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Fayette,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Fayette,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Fayette,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fayette,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fayette,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fayette,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fayette,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fayette,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fayette,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fisher,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Fisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fisher,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fisher,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fisher,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Fisher,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Fisher,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Fisher,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fisher,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Fisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Fisher,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fisher,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fisher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fisher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fisher,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fisher,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Floyd,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Floyd,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Floyd,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Floyd,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Floyd,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Floyd,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Floyd,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Floyd,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Floyd,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Floyd,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Floyd,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Foard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Foard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Foard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Foard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Foard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Foard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Foard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Foard,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Foard,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Foard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Foard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Foard,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Foard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fort Bend,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fort Bend,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Fort Bend,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Fort Bend,KelseyCare Advantage,Local CCP,KelseyCare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H0332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Fort Bend,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Fort Bend,KelseyCare Advantage,Local CCP,KelseyCare Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H0332,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Fort Bend,KelseyCare Advantage,Local CCP,KelseyCare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H0332,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Fort Bend,KelseyCare Advantage,Local CCP,KelseyCare Advantage Thrive (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fort Bend,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Fort Bend,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Fort Bend,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Fort Bend,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Fort Bend,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Fort Bend,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Complete Care TX-002P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4514,015,0,,,$0.00 ,($4.40),$4.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D01P (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,016,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V01P (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,018,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Fort Bend,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Fort Bend,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Fort Bend,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fort Bend,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fort Bend,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Fort Bend,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Fort Bend,Verda Health Plan of Texas,Local CCP,Verda Noble Care (HMO),HMO,No,,Enhanced Alternative,H5163,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Fort Bend,Verda Health Plan of Texas,Local CCP,Verda Noble Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Fort Bend,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Fort Bend,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Fort Bend,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Fort Bend,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Fort Bend,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7115,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Fort Bend,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Fort Bend,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Fort Bend,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Fort Bend,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Fort Bend,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Fort Bend,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Fort Bend,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Fort Bend,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Fort Bend,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Select (HMO),HMO,No,,Enhanced Alternative,H8849,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fort Bend,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fort Bend,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Fort Bend,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Fort Bend,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fort Bend,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Fort Bend,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Fort Bend,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Franklin,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Franklin,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Franklin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Franklin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Franklin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Franklin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Franklin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Franklin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Franklin,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Franklin,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Franklin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Franklin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Franklin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Franklin,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Franklin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Franklin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Franklin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Franklin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Franklin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Franklin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Franklin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Franklin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Franklin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Franklin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Franklin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Freestone,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Freestone,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Freestone,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Freestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Freestone,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Freestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Freestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Freestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Freestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Freestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Freestone,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Freestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Freestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Freestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Freestone,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Freestone,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Freestone,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Freestone,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Freestone,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Freestone,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Freestone,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Freestone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Frio,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Frio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Frio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Frio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Frio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Frio,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Frio,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Frio,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Frio,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Frio,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Frio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Frio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Frio,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Frio,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Frio,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Frio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Frio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Frio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Frio,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Frio,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Frio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Frio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Frio,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Frio,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gaines,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Gaines,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gaines,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gaines,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gaines,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gaines,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Gaines,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Gaines,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gaines,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gaines,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gaines,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gaines,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gaines,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Galveston,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Galveston,KelseyCare Advantage,Local CCP,KelseyCare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H0332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Galveston,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Galveston,KelseyCare Advantage,Local CCP,KelseyCare Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H0332,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Galveston,KelseyCare Advantage,Local CCP,KelseyCare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H0332,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Galveston,KelseyCare Advantage,Local CCP,KelseyCare Advantage Thrive (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Galveston,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Galveston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Galveston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Galveston,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Galveston,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Galveston,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Galveston,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Galveston,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Galveston,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Galveston,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Galveston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Galveston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Galveston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Galveston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Galveston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Galveston,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Galveston,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Galveston,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Galveston,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Galveston,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Galveston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Galveston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Galveston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Galveston,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Galveston,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Galveston,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Galveston,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Galveston,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Galveston,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Galveston,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Galveston,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Galveston,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Galveston,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Galveston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Garza,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Garza,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Garza,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Garza,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Garza,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Garza,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Garza,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Garza,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Garza,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Garza,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Garza,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Garza,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Garza,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Garza,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Garza,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Garza,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Garza,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Garza,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Garza,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Garza,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Garza,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Garza,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Garza,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Garza,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Gillespie,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Gillespie,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Gillespie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Gillespie,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Gillespie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Gillespie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gillespie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gillespie,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gillespie,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Gillespie,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gillespie,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gillespie,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Gillespie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gillespie,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gillespie,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Gillespie,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gillespie,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Gillespie,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Gillespie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gillespie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Gillespie,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Gillespie,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gillespie,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Glasscock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Glasscock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Glasscock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Glasscock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Glasscock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Glasscock,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Glasscock,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Glasscock,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Glasscock,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Glasscock,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Glasscock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Glasscock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Glasscock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Glasscock,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Glasscock,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Glasscock,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Glasscock,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Glasscock,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Glasscock,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Goliad,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Goliad,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Goliad,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Goliad,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Goliad,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Goliad,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Goliad,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Goliad,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Goliad,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Goliad,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Goliad,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Goliad,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Goliad,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Goliad,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Goliad,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Goliad,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Goliad,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Goliad,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Goliad,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Goliad,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Goliad,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Goliad,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Goliad,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Goliad,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Goliad,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Goliad,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Goliad,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Gonzales,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Gonzales,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Gonzales,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Gonzales,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Gonzales,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gonzales,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Gonzales,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Gonzales,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gonzales,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gonzales,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Gonzales,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Gonzales,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gonzales,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gonzales,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Gonzales,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Gonzales,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Gonzales,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Gonzales,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gonzales,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gonzales,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Gonzales,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Gonzales,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Gonzales,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gonzales,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gonzales,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gonzales,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gray,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Gray,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Gray,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Gray,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Gray,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Gray,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gray,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gray,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Gray,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Gray,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gray,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gray,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gray,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gray,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gray,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Grayson,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Grayson,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Grayson,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Grayson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Grayson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Grayson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Grayson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grayson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grayson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grayson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Grayson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Grayson,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Grayson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Grayson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Grayson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Grayson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Grayson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Grayson,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Grayson,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Grayson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Grayson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Grayson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Grayson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Grayson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grayson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Grayson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gregg,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gregg,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Gregg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Gregg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Gregg,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Gregg,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Gregg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Gregg,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Gregg,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Gregg,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Gregg,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Gregg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Gregg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Gregg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gregg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gregg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Gregg,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Gregg,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Gregg,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Gregg,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Gregg,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Gregg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gregg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Gregg,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Gregg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Gregg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Gregg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Gregg,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Gregg,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Gregg,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gregg,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gregg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Gregg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Gregg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Gregg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Gregg,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gregg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Gregg,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Gregg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Grimes,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Grimes,Humana,Local CCP,Humana Gold Plus H0783-003 (HMO),HMO,No,,Enhanced Alternative,H0783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Grimes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Grimes,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Grimes,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Grimes,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Grimes,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Grimes,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Grimes,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Grimes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Grimes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grimes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grimes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Grimes,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Grimes,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Grimes,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Grimes,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Grimes,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Grimes,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Grimes,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Grimes,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Grimes,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Grimes,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Grimes,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Grimes,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Grimes,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Grimes,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Grimes,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Guadalupe,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,020,0,,,$0.00 ,($8.30),$8.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Guadalupe,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Guadalupe,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Guadalupe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Guadalupe,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Guadalupe,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Guadalupe,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Guadalupe,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Guadalupe,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Guadalupe,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Guadalupe,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Guadalupe,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Guadalupe,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Guadalupe,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Guadalupe,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Guadalupe,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Guadalupe,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Guadalupe,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Guadalupe,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Guadalupe,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Guadalupe,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Guadalupe,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Guadalupe,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Guadalupe,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Guadalupe,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Guadalupe,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Guadalupe,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Guadalupe,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hale,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hale,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Hale,Humana,Local CCP,Humana Gold Plus H0783-004 (HMO),HMO,No,,Enhanced Alternative,H0783,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Hale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hale,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hale,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hale,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hale,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hale,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hale,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hale,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hale,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hale,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hale,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hale,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hale,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hale,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Hale,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hale,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hale,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hale,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hale,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hale,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hale,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hale,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hale,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hale,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hale,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hall,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hall,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hall,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hall,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hall,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hamilton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Hamilton,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hamilton,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hamilton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hamilton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hamilton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hamilton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hamilton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hamilton,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hamilton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hamilton,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Hamilton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hamilton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hamilton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hamilton,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hamilton,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hamilton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hamilton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hamilton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hamilton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hamilton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hansford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hansford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hansford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hansford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hansford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hansford,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hansford,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hansford,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hansford,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hansford,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hansford,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hansford,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hansford,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hansford,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hansford,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hansford,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardeman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hardeman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hardeman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hardeman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hardeman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardeman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hardeman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hardeman,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardeman,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardeman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hardeman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardeman,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hardeman,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hardin,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Hardin,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hardin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hardin,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Hardin,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hardin,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Hardin,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Hardin,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hardin,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hardin,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Hardin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hardin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Hardin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hardin,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hardin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hardin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hardin,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage Golden Triangle (HMO),HMO,No,,Enhanced Alternative,H7115,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Hardin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hardin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hardin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hardin,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hardin,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hardin,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hardin,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hardin,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hardin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hardin,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hardin,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardin,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hardin,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Hardin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hardin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hardin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hardin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harris,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harris,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Harris,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harris,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Harris,KelseyCare Advantage,Local CCP,KelseyCare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H0332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Harris,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Harris,KelseyCare Advantage,Local CCP,KelseyCare Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H0332,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,KelseyCare Advantage,Local CCP,KelseyCare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H0332,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,KelseyCare Advantage,Local CCP,KelseyCare Advantage Thrive (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Harris,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,003,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Harris,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Harris,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Harris,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Harris,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Harris,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Harris,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Complete Care TX-002P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4514,015,0,,,$0.00 ,($4.40),$4.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D01P (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,016,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V01P (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,018,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Harris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Harris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Harris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Harris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harris,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Harris,Verda Health Plan of Texas,Local CCP,Verda Noble Care (HMO),HMO,No,,Enhanced Alternative,H5163,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,Verda Health Plan of Texas,Local CCP,Verda Noble Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Harris,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Harris,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Harris,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Harris,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Harris,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7115,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Harris,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Harris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Harris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Harris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Harris,UnitedHealthcare,Demo,UnitedHealthcare Connected (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H7833,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Harris,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Harris,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Harris,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Harris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Harris,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Harris,Molina Healthcare of Texas,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8197,002,2,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Harris,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Harris,Wellpoint STAR+PLUS MMP,Demo,Wellpoint STAR+PLUS MMP (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8786,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Harris,Wellpoint,Local CCP,Wellpoint Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,003,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Select (HMO),HMO,No,,Enhanced Alternative,H8849,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harris,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harris,SCAN Health Plan,Local CCP,SCAN Classic (HMO),HMO,No,,Enhanced Alternative,H8902,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,SCAN Health Plan,Local CCP,SCAN Balance (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8902,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,SCAN Health Plan,Local CCP,SCAN Heart First (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8902,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,SCAN Health Plan,Local CCP,SCAN Venture (HMO),HMO,No,,Enhanced Alternative,H8902,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,SCAN Health Plan,Local CCP,SCAN Strive (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H8902,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Harris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Harris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Harris,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Harris,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Harris,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harris,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Harris,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harrison,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Harrison,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Harrison,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Harrison,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Harrison,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Harrison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Harrison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harrison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harrison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Harrison,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Harrison,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Harrison,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Harrison,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Harrison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Harrison,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Harrison,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Harrison,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Harrison,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Harrison,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Harrison,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Harrison,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Harrison,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Harrison,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Harrison,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Harrison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hartley,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hartley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hartley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hartley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hartley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hartley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hartley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hartley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hartley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hartley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hartley,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hartley,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hartley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hartley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hartley,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hartley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Haskell,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Haskell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Haskell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Haskell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Haskell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Haskell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Haskell,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Haskell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Haskell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Haskell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Haskell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Haskell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Haskell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Haskell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Haskell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Haskell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Hays,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hays,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Hays,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hays,Humana,Local CCP,HumanaChoice H0473-003 (PPO),Local PPO,No,,Enhanced Alternative,H0473,003,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$17.60 ,$200.00 ,1,,,3.5,3.0,3.5
Texas,Hays,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hays,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hays,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hays,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hays,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hays,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hays,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hays,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hays,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Hays,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hays,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Hays,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hays,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hays,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hays,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hays,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hays,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Hays,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hays,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hays,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hays,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Hays,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hays,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hays,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Hays,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hays,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hays,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hays,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hays,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hays,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hemphill,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hemphill,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hemphill,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hemphill,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hemphill,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hemphill,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Henderson,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Henderson,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Henderson,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Henderson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Henderson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Henderson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Henderson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Henderson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Henderson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,019,0,,Yes,$0.00 ,$16.90 ,$0.00 ,$16.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Henderson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Henderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Henderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Henderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Henderson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Henderson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Henderson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Henderson,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Henderson,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Henderson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Henderson,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Henderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Henderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Henderson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Henderson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Henderson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Henderson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Henderson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Henderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Henderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Henderson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Henderson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Henderson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Henderson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Henderson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hidalgo,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Hidalgo,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,045,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hidalgo,Humana,Local CCP,Humana Gold Plus H0028-046 (HMO),HMO,No,,Enhanced Alternative,H0028,046,0,,,$0.00 ,($3.80),$3.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Hidalgo,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hidalgo,Humana,Local CCP,Humana Gold Plus H0783-002 (HMO),HMO,No,,Enhanced Alternative,H0783,002,0,,,$8.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hidalgo,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hidalgo,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hidalgo,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,053,0,,Yes,$0.00 ,$23.60 ,$0.00 ,$23.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hidalgo,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hidalgo,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,2,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Hidalgo,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hidalgo,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hidalgo,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hidalgo,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H4527,015,0,,,$0.00 ,($6.50),$6.50 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.5,4.5
Texas,Hidalgo,UnitedHealthcare,Local CCP,UHC Complete Care TX-0019 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,042,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hidalgo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Hidalgo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hidalgo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hidalgo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hidalgo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hidalgo,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hidalgo,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hidalgo,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hidalgo,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hidalgo,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hidalgo,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hidalgo,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Hidalgo,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hidalgo,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hidalgo,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5322,026,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.0,4.0
Texas,Hidalgo,Superior HealthPlan,Demo,Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H6870,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Hidalgo,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hidalgo,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Hidalgo,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hidalgo,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hidalgo,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hidalgo,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hidalgo,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Hidalgo,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Hidalgo,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Hidalgo,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Hidalgo,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Hidalgo,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hidalgo,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Hidalgo,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Hidalgo,Molina Healthcare of Texas,Demo,Molina Dual Options (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8197,002,1,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Hidalgo,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hidalgo,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hidalgo,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hidalgo,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hidalgo,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hidalgo,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hidalgo,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hidalgo,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hidalgo,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hill,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hill,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hill,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Hill,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hill,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hill,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Hill,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hill,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hill,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hill,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hill,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hill,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hill,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hill,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hill,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Hill,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hill,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Hill,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hill,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Hill,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hill,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hill,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hockley,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hockley,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Hockley,Humana,Local CCP,Humana Gold Plus H0783-004 (HMO),HMO,No,,Enhanced Alternative,H0783,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Hockley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hockley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hockley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hockley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hockley,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hockley,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hockley,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hockley,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hockley,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Hockley,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hockley,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hockley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hockley,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hockley,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hockley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hockley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hockley,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hockley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Hood,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hood,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Hood,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hood,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hood,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hood,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hood,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Hood,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hood,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Hood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hood,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Hood,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hood,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hood,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hood,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hood,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hood,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Hood,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Hood,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Hood,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Hood,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Hood,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Hood,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Hood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hood,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hood,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hood,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hood,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hood,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hood,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hood,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hopkins,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Hopkins,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hopkins,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hopkins,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hopkins,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hopkins,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hopkins,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hopkins,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hopkins,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hopkins,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hopkins,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hopkins,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hopkins,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hopkins,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hopkins,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hopkins,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hopkins,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hopkins,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hopkins,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hopkins,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hopkins,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hopkins,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hopkins,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hopkins,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hopkins,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hopkins,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hopkins,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Houston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Houston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Houston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Houston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Houston,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Houston,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Houston,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Houston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Houston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Houston,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Houston,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Houston,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Houston,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Houston,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Houston,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Houston,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Howard,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Howard,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Howard,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Howard,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Howard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Howard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Howard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Howard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Howard,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Howard,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Howard,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Howard,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Howard,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Howard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Howard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Howard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Howard,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Howard,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Howard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Howard,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Howard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hudspeth,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,034,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hudspeth,Humana,Local CCP,Humana Gold Plus H0028-035 (HMO),HMO,No,,Enhanced Alternative,H0028,035,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Texas,Hudspeth,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Hudspeth,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hudspeth,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hudspeth,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hudspeth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,049,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hudspeth,El Paso Health Medicare Advantage,Local CCP,El Paso Health Medicare Advantage Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3407,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Hudspeth,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hudspeth,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hudspeth,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hudspeth,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hudspeth,Alignment Health Plan,Local CCP,Alignment Health the ONE + Walgreens (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5472,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hudspeth,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5472,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hudspeth,Alignment Health Plan,Local CCP,Alignment Health smartHMO (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5472,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hudspeth,Alignment Health Plan,Local CCP,Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Defined Standard Benefit,H5472,004,0,,Yes,$0.00 ,$14.60 ,$0.00 ,$14.60 ,$0.00 ,$545.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hudspeth,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hudspeth,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hudspeth,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hudspeth,Devoted Health,Local CCP,Devoted CORE El Paso (HMO),HMO,No,,Enhanced Alternative,H7993,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hudspeth,Devoted Health,Local CCP,Devoted GIVEBACK El Paso (HMO),HMO,No,,Enhanced Alternative,H7993,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Hudspeth,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,4,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hudspeth,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,4,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hudspeth,Alignment Health Plan,Local CCP,Alignment Health AVA (PPO),Local PPO,No,,Enhanced Alternative,H9614,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Hudspeth,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hudspeth,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hudspeth,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hudspeth,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hudspeth,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hudspeth,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hudspeth,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Hunt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Hunt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Hunt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hunt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hunt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hunt,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Hunt,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hunt,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Hunt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hunt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hunt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Hunt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Hunt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Hunt,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hunt,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hunt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hunt,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hunt,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hutchinson,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Hutchinson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Hutchinson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hutchinson,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Hutchinson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Hutchinson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hutchinson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hutchinson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Hutchinson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Hutchinson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hutchinson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Hutchinson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Hutchinson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Hutchinson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Hutchinson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hutchinson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hutchinson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hutchinson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Hutchinson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Hutchinson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Irion,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Irion,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Irion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Irion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Irion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Irion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Irion,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Irion,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Irion,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Irion,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Irion,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Irion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Irion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Irion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Irion,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Irion,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Irion,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Irion,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Irion,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Irion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jack,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jack,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jack,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jack,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Jack,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jack,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jack,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jack,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jack,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Jack,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jack,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jack,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Jack,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Jack,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Jack,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jack,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jack,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jack,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jack,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jack,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jack,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jackson,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jackson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jackson,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Jackson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jackson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Jackson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Jackson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jackson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jackson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jackson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jackson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jasper,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Jasper,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jasper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Jasper,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Jasper,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Jasper,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Jasper,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jasper,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jasper,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Jasper,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Jasper,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Jasper,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jasper,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jasper,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jasper,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Jasper,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jasper,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jasper,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jasper,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jeff Davis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Jeff Davis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jeff Davis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jeff Davis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jeff Davis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jeff Davis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Jeff Davis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Jeff Davis,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jeff Davis,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jeff Davis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jefferson,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Jefferson,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jefferson,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Jefferson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Jefferson,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Jefferson,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Jefferson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Jefferson,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Jefferson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jefferson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jefferson,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jefferson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Jefferson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jefferson,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Jefferson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jefferson,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage Golden Triangle (HMO),HMO,No,,Enhanced Alternative,H7115,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Jefferson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Jefferson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Jefferson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Jefferson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Jefferson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jefferson,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jefferson,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jefferson,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Jefferson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jefferson,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jefferson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jefferson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jefferson,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Jefferson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jefferson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jefferson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jefferson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Hogg,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jim Hogg,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Jim Hogg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Jim Hogg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Jim Hogg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Jim Hogg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Jim Hogg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Hogg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Hogg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Hogg,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Hogg,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jim Hogg,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Jim Hogg,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Jim Hogg,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Hogg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jim Hogg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jim Hogg,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Jim Hogg,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Jim Hogg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Jim Hogg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Jim Hogg,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Jim Hogg,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Jim Hogg,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Jim Hogg,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Jim Hogg,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Jim Hogg,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Jim Hogg,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Jim Hogg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Hogg,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Hogg,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Hogg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jim Hogg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Hogg,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jim Hogg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Wells,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Jim Wells,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jim Wells,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,5.0,4.5
Texas,Jim Wells,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Jim Wells,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Jim Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Wells,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Wells,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Jim Wells,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Jim Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Jim Wells,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Jim Wells,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Jim Wells,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Jim Wells,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Jim Wells,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Wells,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Wells,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Jim Wells,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jim Wells,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Jim Wells,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jim Wells,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Jim Wells,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jim Wells,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Wells,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Jim Wells,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Jim Wells,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Jim Wells,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Wells,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Jim Wells,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Jim Wells,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jim Wells,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Jim Wells,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Jim Wells,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Wells,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Wells,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jim Wells,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jim Wells,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jim Wells,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Johnson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Johnson,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Johnson,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Johnson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Johnson,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Johnson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Johnson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Johnson,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Johnson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Johnson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Johnson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Johnson,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Johnson,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Johnson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Johnson,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Johnson,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Johnson,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Johnson,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Johnson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Johnson,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Johnson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Johnson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Johnson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7787,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Texas,Johnson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Johnson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Johnson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Johnson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Johnson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Johnson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Johnson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Johnson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jones,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Jones,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Jones,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Jones,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jones,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Jones,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jones,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Jones,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jones,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jones,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jones,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Jones,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Jones,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Karnes,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Karnes,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Karnes,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Karnes,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Karnes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Karnes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Karnes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Karnes,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Karnes,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Karnes,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Karnes,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Karnes,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Karnes,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Karnes,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Karnes,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Karnes,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Karnes,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Karnes,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Karnes,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Karnes,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Karnes,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Karnes,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Karnes,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Karnes,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kaufman,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kaufman,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kaufman,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kaufman,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Kaufman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kaufman,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Kaufman,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Kaufman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Kaufman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kaufman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kaufman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kaufman,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kaufman,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kaufman,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Kaufman,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kaufman,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Kaufman,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Kaufman,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Kaufman,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Kaufman,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Kaufman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kaufman,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kaufman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kaufman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kaufman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kaufman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kaufman,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kaufman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kaufman,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kaufman,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kendall,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kendall,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kendall,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Kendall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kendall,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Kendall,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kendall,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Kendall,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Kendall,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Kendall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Kendall,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kendall,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Kendall,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kendall,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Kendall,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kendall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kendall,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Kendall,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Kendall,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Kendall,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Kendall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Kendall,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Kendall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Kendall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Kendall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Kendall,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kendall,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kendall,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Kendall,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kendall,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Kendall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Kendall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Kendall,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Kendall,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kendall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kendall,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kendall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kendall,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kendall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kenedy,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kenedy,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Kenedy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Kenedy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kenedy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kenedy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kenedy,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kenedy,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kenedy,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Kenedy,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kenedy,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kenedy,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kenedy,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kenedy,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Kenedy,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Kenedy,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Kenedy,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kenedy,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kenedy,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kenedy,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kenedy,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kenedy,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kenedy,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kent,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kent,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Kent,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kent,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kent,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kent,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kent,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kent,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Kent,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kent,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Kent,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kent,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kent,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kent,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kent,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kent,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kent,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kent,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kent,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kerr,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kerr,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kerr,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kerr,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kerr,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kerr,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Kerr,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kerr,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kerr,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kerr,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kimble,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kimble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Kimble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kimble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kimble,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kimble,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kimble,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kimble,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Kimble,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kimble,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kimble,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kimble,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kimble,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kimble,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kimble,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kimble,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kimble,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,King,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,King,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,King,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,King,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,King,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,King,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,King,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,King,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,King,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,King,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,King,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,King,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,King,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,King,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kinney,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kinney,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Kinney,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kinney,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kinney,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kinney,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Kinney,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kinney,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kinney,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kinney,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kinney,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kinney,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kinney,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kinney,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kinney,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kleberg,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kleberg,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Kleberg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Kleberg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Kleberg,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Kleberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kleberg,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kleberg,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Kleberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Kleberg,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Kleberg,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Kleberg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Kleberg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Kleberg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kleberg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kleberg,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Kleberg,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kleberg,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Kleberg,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kleberg,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Kleberg,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Kleberg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Kleberg,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kleberg,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Kleberg,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Kleberg,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kleberg,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kleberg,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Kleberg,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Kleberg,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Kleberg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Kleberg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Kleberg,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Kleberg,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kleberg,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kleberg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kleberg,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Kleberg,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Kleberg,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Knox,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Knox,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Knox,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Knox,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Knox,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Knox,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Knox,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Knox,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Knox,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Knox,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Knox,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Knox,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Knox,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Knox,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Knox,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,La Salle,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,La Salle,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,La Salle,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,La Salle,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,La Salle,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,La Salle,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,La Salle,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,La Salle,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,La Salle,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,La Salle,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,La Salle,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,La Salle,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,La Salle,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,La Salle,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,La Salle,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,La Salle,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,La Salle,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,La Salle,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,La Salle,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,La Salle,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamar,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lamar,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamar,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lamar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Lamar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamar,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamar,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Lamar,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Lamar,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lamar,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lamar,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Lamar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Lamar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Lamar,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Lamar,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Lamar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lamar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lamar,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lamar,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamar,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamar,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lamar,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamar,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lamar,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamb,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Lamb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Lamb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lamb,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Lamb,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lamb,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Lamb,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lamb,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lamb,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lamb,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lamb,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamb,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lamb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lamb,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lamb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Lampasas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Lampasas,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Lampasas,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Lampasas,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lampasas,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lampasas,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lampasas,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Lampasas,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Lampasas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lampasas,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lampasas,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Lampasas,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Lampasas,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Lampasas,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Lampasas,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Lampasas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Lampasas,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lampasas,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lampasas,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Lampasas,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Lampasas,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lampasas,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lampasas,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lampasas,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lampasas,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lavaca,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Lavaca,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lavaca,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Lavaca,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lavaca,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Lavaca,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lavaca,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lavaca,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lavaca,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Lavaca,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Lavaca,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lavaca,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lavaca,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Lavaca,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lavaca,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lavaca,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lavaca,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lavaca,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lavaca,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lavaca,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Lee,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Lee,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Lee,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Lee,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lee,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lee,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lee,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Lee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Lee,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lee,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Lee,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Lee,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Lee,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Lee,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Lee,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Lee,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Lee,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Lee,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Lee,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Lee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lee,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lee,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lee,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lee,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lee,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Leon,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Leon,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Leon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Leon,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Leon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Leon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Leon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Leon,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Leon,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Leon,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Leon,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Leon,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Leon,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Leon,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Leon,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Leon,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Leon,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Leon,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Leon,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Leon,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Leon,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Liberty,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Liberty,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Liberty,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Liberty,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Liberty,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Liberty,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Liberty,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Liberty,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Liberty,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Liberty,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Liberty,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Liberty,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Liberty,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Liberty,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Liberty,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Liberty,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Liberty,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Liberty,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Liberty,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7115,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Liberty,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Liberty,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Liberty,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Liberty,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Liberty,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Liberty,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Liberty,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Liberty,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Liberty,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Liberty,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Liberty,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Liberty,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Liberty,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Liberty,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Liberty,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Liberty,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Liberty,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Limestone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Limestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Limestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Limestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Limestone,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Limestone,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Limestone,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Limestone,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Limestone,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Limestone,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Limestone,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Limestone,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Limestone,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Limestone,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Limestone,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Limestone,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Limestone,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lipscomb,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lipscomb,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lipscomb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lipscomb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lipscomb,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lipscomb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Live Oak,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Live Oak,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Live Oak,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Live Oak,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Live Oak,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Live Oak,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Live Oak,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Live Oak,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Live Oak,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Live Oak,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Live Oak,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Live Oak,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Live Oak,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Live Oak,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Live Oak,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Live Oak,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Live Oak,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Live Oak,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Llano,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Llano,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Llano,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Llano,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Llano,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Llano,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Llano,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Llano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Llano,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Llano,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Llano,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Llano,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Llano,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Llano,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Llano,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Llano,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Llano,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Llano,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Llano,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Llano,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Llano,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Llano,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Llano,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Llano,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Llano,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Llano,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Llano,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Loving,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Loving,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Loving,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Loving,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Loving,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Loving,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Loving,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Loving,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Loving,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Loving,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Loving,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Loving,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Loving,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Loving,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lubbock,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Lubbock,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Lubbock,Humana,Local CCP,Humana Gold Plus H0783-004 (HMO),HMO,No,,Enhanced Alternative,H0783,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Lubbock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Lubbock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Lubbock,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Lubbock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Lubbock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lubbock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lubbock,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lubbock,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Lubbock,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Lubbock,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Lubbock,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Lubbock,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lubbock,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Lubbock,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lubbock,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lubbock,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Lubbock,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Lubbock,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Lubbock,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Lubbock,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lubbock,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lubbock,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lubbock,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lubbock,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lubbock,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lubbock,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lubbock,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lynn,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Lynn,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Lynn,Humana,Local CCP,Humana Gold Plus H0783-004 (HMO),HMO,No,,Enhanced Alternative,H0783,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Lynn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Lynn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Lynn,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lynn,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lynn,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Lynn,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Lynn,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Lynn,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Lynn,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Lynn,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lynn,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Lynn,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Lynn,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Lynn,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lynn,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lynn,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lynn,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Lynn,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Lynn,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Madison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Madison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Madison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Madison,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Madison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Madison,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Madison,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Madison,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Madison,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Madison,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Madison,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Madison,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Marion,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Marion,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Marion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Marion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Marion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Marion,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Marion,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Marion,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Marion,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Marion,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Marion,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Marion,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Marion,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Marion,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Marion,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Marion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Marion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Marion,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Marion,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Marion,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Marion,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Marion,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Marion,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Martin,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Martin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Martin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Martin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Martin,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Martin,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Martin,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Martin,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Martin,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Martin,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Martin,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Martin,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Martin,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Martin,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Martin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Martin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Martin,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Martin,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Martin,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Martin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Martin,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Martin,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Martin,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mason,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Mason,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mason,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mason,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Mason,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mason,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mason,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mason,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mason,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mason,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Mason,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Mason,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Mason,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mason,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mason,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mason,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mason,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mason,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mason,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Matagorda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Matagorda,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Matagorda,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Matagorda,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Matagorda,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Matagorda,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Matagorda,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Matagorda,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Matagorda,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Matagorda,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Matagorda,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Matagorda,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Matagorda,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Matagorda,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Matagorda,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Matagorda,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Matagorda,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Matagorda,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Matagorda,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Matagorda,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Matagorda,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Maverick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Maverick,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Maverick,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Maverick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Maverick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Maverick,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Maverick,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Maverick,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Maverick,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Maverick,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Maverick,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Maverick,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Maverick,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Maverick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Maverick,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Maverick,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Maverick,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Maverick,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Maverick,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Maverick,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Maverick,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Maverick,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Maverick,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Maverick,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Maverick,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Maverick,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Maverick,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Maverick,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Maverick,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Maverick,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,McCulloch,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,McCulloch,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McCulloch,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,McCulloch,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McCulloch,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McCulloch,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McCulloch,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McCulloch,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McCulloch,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,McCulloch,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McCulloch,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,McCulloch,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,McCulloch,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McCulloch,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,McCulloch,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McCulloch,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,McLennan,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,McLennan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,McLennan,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,McLennan,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,McLennan,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,McLennan,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,McLennan,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,McLennan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,McLennan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,McLennan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McLennan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McLennan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,McLennan,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,McLennan,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,McLennan,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,McLennan,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,McLennan,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,McLennan,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,McLennan,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,McLennan,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,McLennan,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,McLennan,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,McLennan,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McLennan,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McLennan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,McMullen,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,McMullen,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,McMullen,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,McMullen,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McMullen,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,McMullen,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,McMullen,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,McMullen,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McMullen,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,McMullen,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,McMullen,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,McMullen,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,McMullen,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,McMullen,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,McMullen,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,McMullen,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,McMullen,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,McMullen,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,McMullen,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McMullen,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,McMullen,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,McMullen,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Medina,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Medina,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Medina,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Medina,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Medina,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Medina,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Medina,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Medina,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Medina,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Medina,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Medina,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Medina,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Medina,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Medina,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Medina,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Medina,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Medina,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Medina,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Medina,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Medina,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Medina,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Medina,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Medina,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Medina,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Medina,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Medina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Medina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Medina,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Medina,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Medina,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Medina,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Medina,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Medina,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Medina,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Medina,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Medina,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Medina,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Medina,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Medina,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Medina,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Medina,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Medina,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Medina,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Menard,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Menard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Menard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Menard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Menard,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Menard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Menard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Menard,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Menard,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Menard,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Menard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Menard,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Menard,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Menard,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Midland,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Midland,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Midland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Midland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Midland,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Midland,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Midland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Midland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Midland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Midland,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Midland,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Midland,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Midland,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Midland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Midland,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Midland,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Midland,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Midland,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Midland,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Midland,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Midland,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Midland,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Midland,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Midland,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Midland,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Midland,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Midland,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Milam,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Milam,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Milam,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Milam,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Milam,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Milam,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Milam,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Milam,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Milam,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Milam,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Milam,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Milam,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Milam,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Milam,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Milam,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Milam,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Milam,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Milam,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Milam,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mills,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Mills,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Mills,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mills,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Mills,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Mills,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mills,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mills,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mills,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Mills,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mills,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mills,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Mills,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Mills,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Mills,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Mills,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Mills,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Mills,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Mills,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mills,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mills,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mills,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mills,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mills,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mills,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mitchell,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mitchell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Mitchell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mitchell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mitchell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Mitchell,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mitchell,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mitchell,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Mitchell,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Mitchell,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Mitchell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Mitchell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Mitchell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Mitchell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mitchell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mitchell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mitchell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Mitchell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Mitchell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montague,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Montague,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Montague,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Montague,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montague,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montague,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montague,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Montague,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Montague,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montague,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montague,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montague,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Montague,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Montague,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Montague,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Montague,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montague,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montague,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Montague,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Montague,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Montague,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Montague,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montague,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montague,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montague,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Montague,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Montague,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Montague,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montague,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Montague,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montgomery,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Montgomery,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Montgomery,KelseyCare Advantage,Local CCP,KelseyCare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H0332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Montgomery,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Montgomery,KelseyCare Advantage,Local CCP,KelseyCare Advantage Signature (HMO),HMO,No,,Enhanced Alternative,H0332,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Montgomery,KelseyCare Advantage,Local CCP,KelseyCare Advantage Secure (HMO),HMO,No,,Enhanced Alternative,H0332,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Montgomery,KelseyCare Advantage,Local CCP,KelseyCare Advantage Thrive (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Montgomery,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Montgomery,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Montgomery,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Montgomery,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Montgomery,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-001P (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,UHC Complete Care TX-002P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4514,015,0,,,$0.00 ,($4.40),$4.40 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Montgomery,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Montgomery,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montgomery,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montgomery,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Montgomery,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Montgomery,Verda Health Plan of Texas,Local CCP,Verda Noble Care (HMO),HMO,No,,Enhanced Alternative,H5163,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Montgomery,Verda Health Plan of Texas,Local CCP,Verda Noble Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5163,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Montgomery,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Montgomery,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Montgomery,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Montgomery,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Advantage (HMO),HMO,No,,Enhanced Alternative,H7115,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Montgomery,Memorial Hermann Health Plan,Local CCP,Memorial Hermann Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7115,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Montgomery,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Montgomery,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Montgomery,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Montgomery,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Montgomery,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montgomery,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Montgomery,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Montgomery,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Montgomery,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Select (HMO),HMO,No,,Enhanced Alternative,H8849,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montgomery,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montgomery,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Montgomery,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Montgomery,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Montgomery,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Montgomery,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Montgomery,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Moore,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Moore,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Moore,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Moore,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Moore,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Moore,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Moore,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Moore,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Moore,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Moore,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Moore,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Moore,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Moore,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Moore,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Moore,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Moore,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Moore,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Moore,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Moore,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Moore,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Morris,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Morris,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Morris,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Morris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Morris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Morris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Morris,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Morris,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Morris,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Morris,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Morris,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Morris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Morris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Morris,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Morris,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Morris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Morris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Morris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Morris,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Morris,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Morris,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Morris,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Morris,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Morris,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Morris,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Motley,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Motley,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Motley,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Motley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Motley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Motley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Motley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Motley,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Motley,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Motley,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Motley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Motley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Motley,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Motley,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Motley,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Motley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Motley,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Motley,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Motley,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nacogdoches,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Nacogdoches,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Nacogdoches,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Nacogdoches,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Nacogdoches,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Nacogdoches,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Nacogdoches,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Nacogdoches,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Nacogdoches,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Nacogdoches,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Nacogdoches,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Nacogdoches,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nacogdoches,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nacogdoches,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nacogdoches,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Nacogdoches,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Nacogdoches,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nacogdoches,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nacogdoches,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Nacogdoches,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Nacogdoches,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Nacogdoches,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Nacogdoches,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Nacogdoches,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Nacogdoches,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nacogdoches,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nacogdoches,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Nacogdoches,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nacogdoches,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Nacogdoches,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nacogdoches,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nacogdoches,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nacogdoches,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Navarro,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Navarro,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Navarro,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Navarro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Navarro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Navarro,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Navarro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Navarro,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Navarro,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Navarro,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Navarro,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Navarro,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Navarro,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Navarro,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Navarro,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Navarro,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Navarro,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Navarro,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Navarro,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Navarro,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Navarro,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Navarro,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Navarro,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Navarro,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Navarro,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Newton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Newton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Newton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Newton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Newton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Newton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Newton,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Newton,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Newton,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Newton,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Newton,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Newton,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Newton,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Newton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Newton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Newton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Newton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Newton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nolan,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Nolan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Nolan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nolan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nolan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Nolan,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nolan,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nolan,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Nolan,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Nolan,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Nolan,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nolan,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nolan,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nolan,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nolan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nolan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nolan,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nolan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Nueces,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nueces,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Nueces,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Nueces,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,5.0,4.5
Texas,Nueces,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Nueces,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Nueces,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Nueces,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nueces,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,074,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Nueces,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,075,0,,Yes,$0.00 ,$12.50 ,$0.00 ,$12.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Nueces,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,7,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Nueces,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Nueces,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Nueces,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Nueces,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Nueces,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Nueces,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nueces,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nueces,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Nueces,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Nueces,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Nueces,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Nueces,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Nueces,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Nueces,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nueces,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Nueces,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Nueces,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Nueces,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Nueces,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,103,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Nueces,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Nueces,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Nueces,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Nueces,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Nueces,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Nueces,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nueces,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Nueces,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Nueces,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ochiltree,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ochiltree,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ochiltree,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ochiltree,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ochiltree,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ochiltree,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Oldham,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Oldham,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Oldham,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Oldham,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Oldham,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Oldham,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Oldham,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Oldham,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Oldham,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Oldham,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Oldham,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Oldham,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Oldham,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Oldham,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Orange,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Orange,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Orange,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Orange,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Orange,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Orange,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Orange,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Orange,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Orange,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Orange,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Orange,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Orange,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Orange,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Orange,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Orange,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Orange,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Orange,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Orange,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Orange,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Orange,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Orange,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Orange,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Orange,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Orange,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Orange,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Orange,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Orange,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Orange,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Orange,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Orange,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Orange,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Orange,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Orange,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Orange,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Orange,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Orange,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Orange,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Orange,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Orange,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Palo Pinto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Palo Pinto,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Palo Pinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Palo Pinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Palo Pinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Palo Pinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Palo Pinto,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Palo Pinto,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Palo Pinto,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Palo Pinto,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Palo Pinto,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Palo Pinto,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Palo Pinto,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Palo Pinto,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Palo Pinto,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Palo Pinto,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Palo Pinto,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Palo Pinto,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Palo Pinto,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Palo Pinto,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Palo Pinto,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Panola,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Panola,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Panola,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Panola,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Panola,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Panola,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Panola,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Panola,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Panola,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Panola,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Panola,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Panola,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Panola,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Panola,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Panola,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Panola,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Panola,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Panola,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Panola,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Panola,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Panola,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Panola,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Panola,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Parker,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Parker,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Parker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Parker,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Parker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Parker,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Parker,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Parker,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Parker,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Parker,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Parker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Parker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Parker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Parker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Parker,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Parker,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Parker,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Parker,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Parker,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Parker,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Parker,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Parker,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Parker,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Parker,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Parker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Parker,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Parker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Parker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Parker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Parker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Parker,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Parker,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Parker,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Parker,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Parker,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Parker,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parker,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Parker,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parmer,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parmer,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parmer,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Parmer,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Parmer,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Parmer,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Pecos,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Pecos,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Pecos,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Pecos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Pecos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Pecos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Pecos,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Pecos,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Pecos,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Pecos,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Pecos,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Pecos,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Pecos,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Pecos,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Pecos,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Pecos,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Polk,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Polk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Polk,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Polk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Polk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Polk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Polk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Polk,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Polk,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Polk,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Polk,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Polk,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Polk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Polk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Polk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Polk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Polk,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Polk,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Polk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Polk,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Polk,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Polk,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Polk,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Polk,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Polk,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Polk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Potter,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Potter,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Potter,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Potter,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Potter,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Potter,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Potter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Potter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Potter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Potter,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Potter,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Potter,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Potter,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Potter,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Potter,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Potter,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Potter,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,020,0,,,$0.00 ,($15.60),$15.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Potter,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Potter,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Potter,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Potter,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Potter,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Potter,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Potter,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Potter,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Potter,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Potter,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Potter,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Potter,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Potter,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Potter,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Potter,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Potter,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Presidio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Presidio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Presidio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Presidio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Presidio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Presidio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Presidio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Presidio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Presidio,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Presidio,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Presidio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Presidio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Presidio,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Presidio,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Rains,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rains,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Rains,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Rains,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rains,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rains,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rains,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Rains,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Rains,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rains,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rains,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rains,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rains,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rains,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Rains,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Rains,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Rains,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Rains,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rains,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rains,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rains,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rains,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Rains,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rains,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rains,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rains,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Randall,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Randall,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Randall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Randall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Randall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Randall,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Randall,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Randall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Randall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Randall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Randall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Randall,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Randall,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Randall,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Randall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Randall,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Randall,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Randall,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Randall,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,020,0,,,$0.00 ,($15.60),$15.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Randall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Randall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Randall,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Randall,Prominence Health Plan,Local CCP,Prominence Giveback $80 (HMO),HMO,No,,Enhanced Alternative,H7680,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,3.0,4.0
Texas,Randall,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Randall,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Randall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Randall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Randall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Randall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Randall,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Randall,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Randall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Randall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Randall,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Randall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reagan,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Reagan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Reagan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reagan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reagan,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reagan,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Reagan,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Reagan,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Reagan,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reagan,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reagan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Reagan,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reagan,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Reagan,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Real,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Real,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Real,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Real,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Real,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Real,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Real,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Real,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Real,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Real,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Real,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Real,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Real,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Real,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Real,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Red River,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Red River,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Red River,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Red River,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Red River,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Red River,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Red River,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Red River,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Red River,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Red River,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Red River,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Red River,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Red River,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Red River,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Red River,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Red River,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Red River,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Red River,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Red River,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Red River,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Red River,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Red River,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Red River,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Red River,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Red River,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Red River,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Red River,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Red River,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Red River,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Red River,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Red River,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Red River,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reeves,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Reeves,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Reeves,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Reeves,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reeves,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reeves,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Reeves,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Reeves,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Reeves,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Reeves,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reeves,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reeves,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Reeves,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Reeves,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Reeves,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Refugio,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Refugio,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Refugio,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Refugio,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Refugio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Refugio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Refugio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Refugio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Refugio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Refugio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Refugio,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Refugio,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Refugio,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Refugio,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Refugio,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Refugio,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Refugio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Refugio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Refugio,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Refugio,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Refugio,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Refugio,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Refugio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Refugio,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Refugio,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Refugio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Refugio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Refugio,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Refugio,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Roberts,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Roberts,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Roberts,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Roberts,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Roberts,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Roberts,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Roberts,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Roberts,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Roberts,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Roberts,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Roberts,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Roberts,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Roberts,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Roberts,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Roberts,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Roberts,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Robertson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Robertson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Robertson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Robertson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Robertson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Robertson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Robertson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Robertson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Robertson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Robertson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Robertson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Robertson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Robertson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Robertson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rockwall,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rockwall,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Rockwall,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Rockwall,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rockwall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Rockwall,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Rockwall,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Rockwall,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Rockwall,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Care N' Care Insurance Company,Local CCP,Southwestern Health Select (HMO),HMO,No,,Enhanced Alternative,H2171,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,056,0,,Yes,$0.00 ,$26.90 ,$0.00 ,$26.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Rockwall,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Rockwall,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Rockwall,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Rockwall,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Rockwall,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Rockwall,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Rockwall,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Rockwall,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Rockwall,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Rockwall,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Rockwall,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Rockwall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Rockwall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Rockwall,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Rockwall,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Rockwall,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Rockwall,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rockwall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Rockwall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Rockwall,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rockwall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rockwall,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rockwall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Runnels,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Runnels,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Runnels,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Runnels,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Runnels,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Runnels,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Runnels,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Runnels,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Runnels,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Runnels,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Runnels,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Runnels,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Runnels,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Runnels,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Runnels,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Runnels,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Runnels,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rusk,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Rusk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Rusk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Rusk,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Rusk,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Rusk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Rusk,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Rusk,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Rusk,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Rusk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Rusk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rusk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rusk,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Rusk,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Rusk,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Rusk,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Rusk,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Rusk,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Rusk,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Rusk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Rusk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Rusk,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Rusk,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rusk,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Rusk,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rusk,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rusk,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Rusk,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Rusk,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Rusk,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Rusk,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rusk,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Rusk,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Rusk,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sabine,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Sabine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sabine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Sabine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Sabine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Sabine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Sabine,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sabine,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sabine,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sabine,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sabine,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sabine,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,San Augustine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,San Augustine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,San Augustine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,San Augustine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,San Augustine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Augustine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Augustine,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Augustine,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,San Augustine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Augustine,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Augustine,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,San Augustine,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,San Augustine,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,San Augustine,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,San Augustine,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Augustine,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Augustine,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,San Augustine,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Augustine,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Augustine,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Augustine,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,033,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Jacinto,Humana,Local CCP,Humana Gold Plus H0028-042 (HMO),HMO,No,,Enhanced Alternative,H0028,042,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Jacinto,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,San Jacinto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,San Jacinto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,San Jacinto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,San Jacinto,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,San Jacinto,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,San Jacinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,San Jacinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Jacinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Jacinto,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Jacinto,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,San Jacinto,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,San Jacinto,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,San Jacinto,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Jacinto,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,San Jacinto,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,San Jacinto,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,San Jacinto,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,San Jacinto,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,San Jacinto,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Jacinto,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,San Jacinto,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,San Jacinto,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,San Jacinto,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,San Jacinto,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Jacinto,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Jacinto,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Jacinto,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,San Jacinto,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Jacinto,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Jacinto,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Jacinto,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Patricio,Humana,Local CCP,Humana Gold Plus H0028-029 (HMO),HMO,No,,Enhanced Alternative,H0028,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,San Patricio,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Patricio,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,San Patricio,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Patricio,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Patricio,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Patricio,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,San Patricio,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,5.0,4.5
Texas,San Patricio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,057,0,,Yes,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,San Patricio,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,San Patricio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Patricio,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Patricio,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,San Patricio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,San Patricio,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,004,0,,Yes,$0.00 ,$19.80 ,$0.00 ,$19.80 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,San Patricio,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,San Patricio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,San Patricio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,San Patricio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Patricio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Patricio,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Patricio,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,San Patricio,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,San Patricio,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,San Patricio,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,San Patricio,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Patricio,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Patricio,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,San Patricio,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,San Patricio,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Patricio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,San Patricio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,San Patricio,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,San Patricio,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Patricio,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Patricio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Patricio,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Patricio,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Patricio,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Saba,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,San Saba,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,San Saba,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Saba,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,San Saba,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,San Saba,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,San Saba,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Saba,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Saba,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,San Saba,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Saba,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Saba,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,San Saba,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Saba,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,San Saba,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,San Saba,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,San Saba,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,San Saba,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,San Saba,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,San Saba,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,San Saba,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Saba,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Saba,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Saba,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,San Saba,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,San Saba,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Schleicher,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Schleicher,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Schleicher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Schleicher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Schleicher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Schleicher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Schleicher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Schleicher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Schleicher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Schleicher,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Schleicher,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Schleicher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Schleicher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Schleicher,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Schleicher,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Scurry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Scurry,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Scurry,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Scurry,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Scurry,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Scurry,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Scurry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shackelford,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Shackelford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Shackelford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shackelford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shackelford,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shackelford,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Shackelford,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Shackelford,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Shackelford,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Shackelford,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Shackelford,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Shackelford,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Shackelford,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Shackelford,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Shackelford,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shackelford,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shackelford,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Shackelford,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shackelford,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Shackelford,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Shelby,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shelby,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Shelby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Shelby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shelby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shelby,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Shelby,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Shelby,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Shelby,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Shelby,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Shelby,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Shelby,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Shelby,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Shelby,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Shelby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Shelby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Shelby,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Shelby,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shelby,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shelby,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Shelby,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Shelby,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Shelby,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sherman,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sherman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Sherman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sherman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sherman,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sherman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sherman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Sherman,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Sherman,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sherman,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sherman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sherman,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sherman,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sherman,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Smith,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Smith,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Smith,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Smith,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Smith,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Smith,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Smith,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Smith,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,019,0,,Yes,$0.00 ,$16.90 ,$0.00 ,$16.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Smith,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Smith,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Smith,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Smith,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Smith,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Smith,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Smith,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Smith,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Smith,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Smith,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Smith,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Smith,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Smith,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Smith,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Smith,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Smith,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Smith,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Smith,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Smith,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Smith,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Smith,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Smith,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Smith,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Somervell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Somervell,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Somervell,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Somervell,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Somervell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Somervell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Somervell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Somervell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Somervell,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Somervell,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Somervell,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Somervell,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Somervell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Somervell,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Somervell,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Somervell,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Somervell,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Somervell,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Somervell,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Somervell,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Somervell,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Somervell,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Somervell,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Somervell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Somervell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Somervell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Somervell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Starr,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Starr,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Starr,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Starr,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Starr,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Starr,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Starr,UnitedHealthcare,Local CCP,UHC Complete Care TX-0019 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,042,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Starr,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Starr,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Starr,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Starr,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Starr,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Starr,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Starr,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Starr,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Starr,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Starr,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Starr,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Starr,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Starr,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Starr,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Starr,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Starr,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Starr,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Starr,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Starr,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Starr,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Starr,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Starr,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Starr,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Starr,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Starr,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Starr,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Starr,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Starr,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Starr,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Starr,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Starr,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Starr,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stephens,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Stephens,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stephens,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stephens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Stephens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Stephens,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Stephens,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stephens,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stephens,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Stephens,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stephens,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Stephens,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sterling,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sterling,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Sterling,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sterling,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sterling,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sterling,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sterling,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sterling,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Sterling,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Sterling,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Sterling,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sterling,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Sterling,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Sterling,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sterling,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sterling,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sterling,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sterling,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sterling,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stonewall,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Stonewall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Stonewall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stonewall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stonewall,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Stonewall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Stonewall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Stonewall,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Stonewall,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stonewall,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stonewall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Stonewall,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Stonewall,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Stonewall,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sutton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sutton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Sutton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sutton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sutton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Sutton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Sutton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Sutton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Sutton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sutton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sutton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sutton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Sutton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Sutton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Swisher,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Swisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Swisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Swisher,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Swisher,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Swisher,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Swisher,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Swisher,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Swisher,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Swisher,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Swisher,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Swisher,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Swisher,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Swisher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Swisher,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Swisher,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Swisher,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Tarrant,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,018,0,,,$0.00 ,($11.00),$11.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D004 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,052,0,,Yes,$0.00 ,$24.60 ,$0.00 ,$24.60 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Complete Care TX-003P (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,062,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V006 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Tarrant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Tarrant,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Tarrant,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H2032,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.0,3.5,4.0
Texas,Tarrant,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Care N' Care Insurance Company,Local CCP,Southwestern Health Select (HMO),HMO,No,,Enhanced Alternative,H2171,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,002,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,ProCare Advantage,Local CCP,ProCare Advantage (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H3467,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Tarrant,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Tarrant,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Tarrant,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Tarrant,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Tarrant,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO),HMO,No,,Enhanced Alternative,H4523,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Tarrant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Tarrant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tarrant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver Plus (PPO),Local PPO,No,,Enhanced Alternative,H4801,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tarrant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tarrant,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tarrant,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Tarrant,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Tarrant,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Tarrant,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Tarrant,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Tarrant,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Tarrant,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Tarrant,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Tarrant,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Tarrant,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Tarrant,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Tarrant,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Tarrant,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Tarrant,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Tarrant,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Tarrant,Cigna Healthcare,Local CCP,Cigna True Choice Savings Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7787,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.0
Texas,Tarrant,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Tarrant,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,010,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Tarrant,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Tarrant,Wellpoint STAR+PLUS MMP,Demo,Wellpoint STAR+PLUS MMP (Medicare-Medicaid Plan),Medicare-Medicaid Plan HMO,No,,Enhanced Alternative,H8786,001,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not Applicable,Not enough data available,Not enough data available
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Tarrant,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Tarrant,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Tarrant,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tarrant,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tarrant,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tarrant,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Taylor,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Taylor,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Taylor,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Taylor,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Taylor,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Taylor,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Taylor,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Taylor,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Taylor,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Taylor,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Taylor,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Taylor,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Taylor,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terrell,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terrell,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terrell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Terrell,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terrell,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Terrell,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terry,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Terry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Terry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terry,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Terry,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Terry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,047,0,,Yes,$0.00 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Terry,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Terry,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Terry,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Terry,Baylor Scott & White Health Plan,Local CCP,Covenant Health Advantage Rx (HMO),HMO,No,,Enhanced Alternative,H4943,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Terry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Terry,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Terry,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Terry,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Terry,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Terry,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Terry,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,5,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Terry,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Terry,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Terry,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terry,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terry,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Terry,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Terry,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Terry,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Throckmorton,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Throckmorton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Throckmorton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Throckmorton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Throckmorton,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Throckmorton,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,018,0,,,$0.00 ,($12.70),$12.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Throckmorton,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,019,0,,,$0.00 ,($15.80),$15.80 ,$0.00 ,$0.00 ,$510.00 ,1,,,3.0,3.0,3.0
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Throckmorton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Throckmorton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Throckmorton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Throckmorton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Throckmorton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Throckmorton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Titus,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Titus,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Titus,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Titus,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Titus,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Titus,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Titus,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Titus,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Titus,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Titus,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Titus,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Titus,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Titus,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Titus,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Titus,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Titus,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Titus,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Titus,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Titus,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Titus,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Titus,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Titus,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Titus,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Titus,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Titus,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Titus,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Titus,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Titus,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Titus,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Titus,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Titus,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Titus,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Titus,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Titus,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tom Green,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Tom Green,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Tom Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Tom Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0034 (PPO),Local PPO,No,,Enhanced Alternative,H1278,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tom Green,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tom Green,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Tom Green,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Tom Green,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tom Green,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tom Green,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tom Green,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Tom Green,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Tom Green,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tom Green,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tom Green,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Tom Green,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tom Green,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Tom Green,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Tom Green,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Tom Green,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tom Green,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tom Green,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tom Green,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tom Green,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tom Green,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Travis,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Travis,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,064,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Travis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Travis,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Travis,Humana,Local CCP,HumanaChoice H0473-003 (PPO),Local PPO,No,,Enhanced Alternative,H0473,003,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$17.60 ,$200.00 ,1,,,3.5,3.0,3.5
Texas,Travis,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Travis,UnitedHealthcare,Local CCP,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,058,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Texas,Travis,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Travis,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Travis,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Travis,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Travis,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Travis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,004,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Travis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Travis,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Travis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Travis,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Travis,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Travis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Travis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Travis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Travis,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Travis,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Travis,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Travis,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Travis,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Travis,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Travis,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Travis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Travis,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Travis,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Travis,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H8849,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Travis,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Travis,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Travis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Travis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Travis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Travis,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Travis,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Travis,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Trinity,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Trinity,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Trinity,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Trinity,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Trinity,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Trinity,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Trinity,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Trinity,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Trinity,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Trinity,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Trinity,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Trinity,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Trinity,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Trinity,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Trinity,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Trinity,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Trinity,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Trinity,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Trinity,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Trinity,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Trinity,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Trinity,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Trinity,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Trinity,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Trinity,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Trinity,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Trinity,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Tyler,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Tyler,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Tyler,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Tyler,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Tyler,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Tyler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Tyler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tyler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tyler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Tyler,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Tyler,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Tyler,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Tyler,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Tyler,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tyler,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Tyler,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Tyler,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Tyler,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Tyler,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Tyler,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Tyler,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Tyler,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tyler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Tyler,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Tyler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upshur,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Upshur,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Upshur,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Upshur,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upshur,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Upshur,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Upshur,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Upshur,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Upshur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4514,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Texas,Upshur,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Upshur,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Upshur,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upshur,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upshur,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upshur,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Upshur,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Upshur,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Upshur,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Upshur,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Upshur,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Upshur,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Upshur,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Upshur,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Upshur,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Upshur,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Upshur,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Upshur,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Upshur,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Upshur,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Upshur,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Upshur,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upshur,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upshur,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Upshur,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upshur,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Upshur,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Upton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Upton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upton,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Upton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Upton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Upton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Upton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Upton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Upton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Upton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Uvalde,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Uvalde,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Uvalde,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Uvalde,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Uvalde,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Uvalde,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Uvalde,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Uvalde,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Uvalde,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Uvalde,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Uvalde,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Uvalde,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Uvalde,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Uvalde,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Uvalde,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Uvalde,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Uvalde,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Uvalde,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Uvalde,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Uvalde,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Uvalde,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Uvalde,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Uvalde,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Val Verde,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Val Verde,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Val Verde,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Val Verde,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Val Verde,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Val Verde,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Val Verde,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Val Verde,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Val Verde,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Val Verde,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Van Zandt,Humana,Local CCP,Humana Gold Plus H0028-041 (HMO),HMO,No,,Enhanced Alternative,H0028,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Van Zandt,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Van Zandt,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Van Zandt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Van Zandt,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Van Zandt,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Van Zandt,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Van Zandt,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,027,0,,Yes,$0.00 ,$13.50 ,$0.00 ,$13.50 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Van Zandt,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Van Zandt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Van Zandt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,019,0,,Yes,$0.00 ,$16.90 ,$0.00 ,$16.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Van Zandt,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Van Zandt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Van Zandt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Van Zandt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Van Zandt,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Van Zandt,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Van Zandt,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,5,,,$0.00 ,$32.00 ,$0.00 ,$32.00 ,$3.60 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Van Zandt,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Van Zandt,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Van Zandt,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Van Zandt,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Van Zandt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Van Zandt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Van Zandt,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Van Zandt,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Van Zandt,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Van Zandt,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Van Zandt,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Van Zandt,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Van Zandt,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Van Zandt,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Van Zandt,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Victoria,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$355.00 ,1,,Yes,4.0,5.0,4.5
Texas,Victoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0008 (PPO),Local PPO,No,,Enhanced Alternative,H1278,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,045,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Victoria,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Victoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Victoria,UnitedHealthcare,Local CCP,UHC Complete Care TX-0018 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,041,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Victoria,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0035 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,048,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Victoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Victoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Victoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Victoria,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Victoria,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Victoria,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Victoria,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Victoria,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Victoria,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Victoria,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Victoria,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Victoria,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Victoria,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Victoria,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Victoria,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Victoria,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Victoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Victoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Victoria,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Victoria,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Victoria,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Victoria,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Victoria,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Walker,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Walker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Walker,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Walker,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Walker,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Walker,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Walker,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Walker,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Walker,Cigna Healthcare,Local CCP,Cigna Alliance Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,064,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Walker,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Walker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Walker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Walker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Walker,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Walker,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Walker,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Walker,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Walker,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Walker,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Walker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Walker,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Walker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Walker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Walker,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Walker,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Walker,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Walker,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Walker,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Walker,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Walker,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Walker,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Walker,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Walker,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Walker,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Walker,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Walker,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Walker,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Walker,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Waller,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Waller,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Waller,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Waller,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Waller,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,Wellcare,Local CCP,Wellcare TexanPlus Classic No Premium (HMO),HMO,No,,Enhanced Alternative,H4506,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare TexanPlus No Premium (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4506,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,4.0,3.0
Texas,Waller,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,1,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Waller,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Waller,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Waller,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Waller,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Texas,Waller,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Waller,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Waller,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Waller,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Waller,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Waller,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Waller,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Waller,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Waller,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Waller,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Waller,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Waller,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Waller,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Waller,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Waller,Devoted Health,Local CCP,Devoted CORE Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Waller,Devoted Health,Local CCP,Devoted PRIME Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,002,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Waller,Devoted Health,Local CCP,Devoted GIVEBACK Greater Houston (HMO),HMO,No,,Enhanced Alternative,H7993,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO),HMO,No,,Enhanced Alternative,H8332,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Waller,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Waller,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Waller,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Waller,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Waller,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Waller,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Waller,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Waller,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Waller,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Waller,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Waller,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Waller,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ward,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Ward,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Ward,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ward,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ward,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ward,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Ward,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Ward,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Washington,Humana,Local CCP,Humana Gold Plus H0783-003 (HMO),HMO,No,,Enhanced Alternative,H0783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,Not enough data available,Not enough data available
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Washington,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Washington,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Washington,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Washington,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Washington,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Washington,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Washington,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Washington,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Washington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Washington,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Washington,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Washington,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Washington,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Washington,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Washington,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Washington,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Webb,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Webb,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Webb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Webb,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Webb,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Webb,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,2,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Webb,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Webb,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Webb,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Webb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Webb,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Webb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Webb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Webb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Webb,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Webb,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Webb,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Webb,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Webb,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Webb,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Webb,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Webb,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Webb,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Webb,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Webb,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Webb,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Webb,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Webb,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Webb,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Webb,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Webb,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Webb,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Webb,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Webb,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Webb,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Webb,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Webb,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Webb,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Webb,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Webb,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Webb,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Webb,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Webb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Webb,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Webb,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Webb,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,010,0,,,$0.00 ,($11.90),$11.90 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,3.0,3.5,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,019,0,,,$0.00 ,($7.20),$7.20 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Wharton,KelseyCare Advantage,Local CCP,KelseyCare Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0332,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,5.0,5.0
Texas,Wharton,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Wharton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0006 (PPO),Local PPO,No,,Enhanced Alternative,H1278,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0031 (PPO),Local PPO,No,,Enhanced Alternative,H1278,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Wharton,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Wharton,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,048,0,,Yes,$0.00 ,$27.30 ,$0.00 ,$27.30 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wharton,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,018,0,,,$0.00 ,$18.70 ,$0.00 ,$18.70 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wharton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Wharton,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wharton,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Wharton,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,6,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wharton,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wharton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wharton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wharton,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Wharton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Wharton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Wharton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Wharton,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Wharton,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Wharton,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,003,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wharton,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wharton,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wharton,Community Health Choice,Local CCP,Community Health Choice (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9826,002,1,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Wharton,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wharton,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wheeler,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wheeler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Wheeler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wheeler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wheeler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wheeler,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wheeler,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wheeler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wheeler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wheeler,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wheeler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wichita,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Wichita,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Wichita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wichita,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Wichita,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0020 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,045,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Wichita,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wichita,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wichita,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wichita,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wichita,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Wichita,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wichita,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wichita,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wichita,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wichita,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wichita,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilbarger,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Wilbarger,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wilbarger,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilbarger,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilbarger,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wilbarger,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilbarger,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wilbarger,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Willacy,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Willacy,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,045,0,,Yes,$0.00 ,$25.90 ,$0.00 ,$25.90 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Willacy,Humana,Local CCP,Humana Gold Plus H0028-046 (HMO),HMO,No,,Enhanced Alternative,H0028,046,0,,,$0.00 ,($3.80),$3.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Willacy,Humana,Local CCP,Humana Gold Plus H0783-002 (HMO),HMO,No,,Enhanced Alternative,H0783,002,0,,,$8.40 ,$17.60 ,$0.00 ,$17.60 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Willacy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Willacy,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Willacy,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Willacy,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Willacy,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,2,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Willacy,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Willacy,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Willacy,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Willacy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Willacy,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H4527,015,0,,,$0.00 ,($6.50),$6.50 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.5,4.5
Texas,Willacy,UnitedHealthcare,Local CCP,UHC Complete Care TX-0019 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,042,0,,,$0.00 ,($3.60),$3.60 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Willacy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Willacy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Willacy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Willacy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Willacy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Willacy,Texas Independence Health Plan,Local CCP,"Texas Independence Health Plan, Inc. (HMO I-SNP)",HMO,Yes,Institutional,Defined Standard Benefit,H5015,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Willacy,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Willacy,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Willacy,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Willacy,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Willacy,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Willacy,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Willacy,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Willacy,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Willacy,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Enhanced Alternative,H5322,026,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$544.00 ,,,,4.0,4.0,4.0
Texas,Willacy,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Willacy,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Willacy,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Willacy,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Willacy,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Willacy,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Willacy,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Willacy,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Willacy,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Willacy,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Willacy,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Willacy,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Basic (HMO),HMO,No,,Enhanced Alternative,H8133,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Willacy,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Willacy,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Willacy,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Willacy,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Willacy,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Willacy,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Willacy,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Willacy,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Willacy,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Willacy,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,Humana,Local CCP,Humana Gold Plus H0028-037 (HMO),HMO,No,,Enhanced Alternative,H0028,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Williamson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,044,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Williamson,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.5,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,004,0,,Yes,$0.00 ,$27.70 ,$0.00 ,$27.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,006,0,,Yes,$0.00 ,$26.40 ,$0.00 ,$26.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Basic Alternative,H0174,009,0,,Yes,$0.00 ,$22.40 ,$0.00 ,$22.40 ,$0.00 ,$535.00 ,1,,,3.0,3.5,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H0174,017,0,,,$0.00 ,($5.40),$5.40 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.5,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0174,022,0,,Yes,$0.00 ,$16.80 ,$0.00 ,$16.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Texas,Williamson,Humana,Local CCP,HumanaChoice H0473-001 (PPO),Local PPO,No,,Enhanced Alternative,H0473,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Williamson,Humana,Local CCP,HumanaChoice H0473-003 (PPO),Local PPO,No,,Enhanced Alternative,H0473,003,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$17.60 ,$200.00 ,1,,,3.5,3.0,3.5
Texas,Williamson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,020,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Texas,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0032 (PPO),Local PPO,No,,Enhanced Alternative,H1278,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0033 (PPO),Local PPO,No,,Enhanced Alternative,H1278,023,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.60 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Williamson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Williamson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Basic (PPO),Local PPO,No,,Enhanced Alternative,H2032,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Platinum (PPO),Local PPO,No,,Enhanced Alternative,H2032,003,0,,,$80.50 ,$51.50 ,$0.00 ,$51.50 ,$23.10 ,$50.00 ,1,,,4.0,3.5,4.0
Texas,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Williamson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Williamson,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,031,0,,,,$19.40 ,$0.00 ,$19.40 ,$0.00 ,$100.00 ,1,,Yes,3.0,3.0,3.0
Texas,Williamson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,055,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,004,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Williamson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Williamson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Williamson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4527,003,0,,Yes,$0.00 ,$23.10 ,$0.00 ,$23.10 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.5
Texas,Williamson,UnitedHealthcare,Local CCP,UHC Complete Care TX-0016 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4527,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Williamson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Williamson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Williamson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Williamson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Williamson,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Williamson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Williamson,Wellcare by Allwell,Local CCP,Wellcare Complete - Giveback (HMO),HMO,No,,Enhanced Alternative,H6678,003,0,,,$0.00 ,($6.70),$6.70 ,$0.00 ,$0.00 ,$500.00 ,1,,,2.5,3.0,3.0
Texas,Williamson,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium (HMO),HMO,No,,Enhanced Alternative,H6678,004,0,,,$0.00 ,($6.10),$6.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Williamson,Devoted Health,Local CCP,Devoted CHOICE GIVEBACK Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Williamson,Devoted Health,Local CCP,Devoted CHOICE Austin (PPO),Local PPO,No,,Enhanced Alternative,H6813,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Williamson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare No Premium Rx Plus Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,006,0,,,$0.00 ,($8.00),$8.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,2.5,3.0,3.0
Texas,Williamson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,009,0,,,$0.00 ,($1.20),$1.20 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Preferred Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,002,0,,,$93.70 ,$41.30 ,$0.00 ,$41.30 ,$12.90 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Premium Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8142,003,0,,,$199.10 ,$43.90 ,$0.00 ,$43.90 ,$15.50 ,$0.00 ,,,,4.0,3.5,4.0
Texas,Williamson,Baylor Scott & White Health Plan,Local CCP,BSW SeniorCare Advantage Select Rx Assist (HMO-POS),HMOPOS,No,,Defined Standard Benefit,H8142,009,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO),HMO,No,,Enhanced Alternative,H8332,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,3.0,3.0
Texas,Williamson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Williamson,Wellcare by Allwell,Local CCP,Wellcare Complete No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H9357,001,0,,,$0.00 ,($5.80),$5.80 ,$0.00 ,$0.00 ,$250.00 ,1,,,2.0,3.0,2.5
Texas,Williamson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Williamson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Williamson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Williamson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,Humana,Local CCP,Humana Gold Plus H0028-030 (HMO),HMO,No,,Enhanced Alternative,H0028,030,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Wilson,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,036,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wilson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Wilson,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,050,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D005 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,053,0,,Yes,$0.00 ,$17.50 ,$0.00 ,$17.50 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,UHC Complete Care TX-0024 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0609,058,0,,,$0.00 ,($2.70),$2.70 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0028 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H0609,065,0,,Yes,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0040 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,067,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0043 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,071,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wilson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$225.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wilson,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Flex Access (PPO),Local PPO,No,,Enhanced Alternative,H1666,018,0,,,$233.20 ,$4.80 ,$0.00 ,$4.80 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Wilson,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wilson,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,051,0,,Yes,$0.00 ,$26.80 ,$0.00 ,$26.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H3288,048,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$300.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,4,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Wilson,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Wilson,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Wilson,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (HMO),HMO,No,,Enhanced Alternative,H4523,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Texas,Wilson,Clover Health,Local CCP,Clover Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5141,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.0,3.5
Texas,Wilson,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Wilson,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wilson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,351,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$480.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wilson,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wilson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Wilson,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Wilson,Community First,Local CCP,Community First Medicare Advantage D-SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Basic Alternative,H5447,002,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Texas,Wilson,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Wilson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Wilson,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,010,0,,,$0.00 ,($4.80),$4.80 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Wilson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Wilson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Wilson,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Wilson,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,038,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wilson,Devoted Health,Local CCP,Devoted CORE San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wilson,Devoted Health,Local CCP,Devoted PRIME San Antonio (HMO),HMO,No,,Enhanced Alternative,H7993,004,0,,,$0.00 ,$15.00 ,$0.00 ,$15.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wilson,Devoted Health,Local CCP,Devoted BE WELL San Antonio (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H7993,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wilson,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Wilson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H8554,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Wilson,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H8554,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.5,3.0,3.5
Texas,Wilson,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Wilson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Wilson,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Wilson,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wilson,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wilson,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wilson,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Winkler,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Winkler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Winkler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Winkler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Winkler,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Winkler,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Winkler,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Winkler,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Winkler,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Winkler,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Winkler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Winkler,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Winkler,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Winkler,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,031,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wise,Humana,Local CCP,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H0028,032,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wise,Humana,Local CCP,Humana Gold Plus H0028-043 (HMO),HMO,No,,Enhanced Alternative,H0028,043,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Wise,Humana,Local CCP,Humana Gold Plus H0028-059 (HMO),HMO,No,,Enhanced Alternative,H0028,059,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Wise,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0028,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Texas,Wise,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H0174,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Texas,Wise,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wise,UnitedHealthcare,Local CCP,AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,059,0,,,$30.80 ,$37.20 ,$0.00 ,$37.20 ,$8.80 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0027 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,061,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0039 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,066,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,4.0,5.0,4.5
Texas,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0042 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,070,0,,,$0.00 ,$24.00 ,$0.00 ,$24.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0005 (PPO),Local PPO,No,,Enhanced Alternative,H1278,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Premier (PPO),Local PPO,No,,Enhanced Alternative,H1666,003,0,,,$44.60 ,$43.40 ,$0.00 ,$43.40 ,$15.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Texas,Wise,"Blue Cross and Blue Shield of NM, TX",Local CCP,Blue Cross Medicare Advantage Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H1666,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Texas,Wise,Care N' Care Insurance Company,Local CCP,Care N' Care Classic (HMO),HMO,No,,Enhanced Alternative,H2171,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Aetna Medicare,Local CCP,Aetna Medicare Freedom Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Wise,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2593,043,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,054,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Wise,Cigna Healthcare,Local CCP,Cigna TotalCare (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H4513,060,5,,Yes,$0.00 ,$11.00 ,$0.00 ,$11.00 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Texas,Wise,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,061,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Wise,Cigna Healthcare,Local CCP,Cigna Preferred Savings Medicare (HMO),HMO,No,,Enhanced Alternative,H4513,083,5,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Texas,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wise,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Classic (PPO),Local PPO,No,,Enhanced Alternative,H4801,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,3.0,2.5,3.0
Texas,Wise,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wise,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wise,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wise,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wise,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wise,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wise,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wise,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Wise,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Premium (PPO),Local PPO,No,,Enhanced Alternative,H6328,001,0,,,$97.00 ,$98.00 ,$0.00 ,$98.00 ,$69.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Wise,Care N' Care Insurance Company,Local CCP,Care N' Care Choice Plus (PPO),Local PPO,No,,Enhanced Alternative,H6328,002,0,,,$0.00 ,$50.00 ,$0.00 ,$50.00 ,$21.60 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Wise,Care N' Care Insurance Company,Local CCP,Care N' Care Choice (PPO),Local PPO,No,,Enhanced Alternative,H6328,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Texas,Wise,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,002,0,,,$0.00 ,($9.10),$9.10 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,2.5,3.0,3.0
Texas,Wise,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H7323,005,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Texas,Wise,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Secure Open (PPO),Local PPO,No,,Enhanced Alternative,H7323,011,0,,,$0.00 ,($0.30),$0.30 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,2.5,3.0,3.0
Texas,Wise,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Wise,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Wise,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Wise,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,134,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,002,0,,Yes,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,001,0,,,$0.00 ,($16.80),$16.80 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Wellpoint,Local CCP,Wellpoint Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8849,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wise,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wise,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wise,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wise,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wise,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,Humana,Local CCP,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0473,006,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.5
Texas,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0026 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,5.0,4.5
Texas,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0041 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H0609,068,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,5.0,4.5
Texas,Wood,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Complete (HMO),HMO,No,,Enhanced Alternative,H1189,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Wood,CHRISTUS Health Advantage,Local CCP,CHRISTUS Health Medicare Plus (HMO),HMO,No,,Enhanced Alternative,H1189,004,0,,,$0.00 ,$20.00 ,$0.00 ,$20.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0007 (PPO),Local PPO,No,,Enhanced Alternative,H1278,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,Aetna Medicare,Local CCP,Aetna Medicare Freedom Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H2293,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Texas,Wood,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H3288,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,013,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,019,0,,Yes,$0.00 ,$16.90 ,$0.00 ,$16.90 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Wood,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Wood,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wood,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wood,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Wood,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Wood,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wood,Humana,Local CCP,HumanaChoice H5216-352 (PPO),Local PPO,No,,Enhanced Alternative,H5216,352,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Wood,Humana,Local CCP,HumanaChoice H5216-358 (PPO),Local PPO,No,,Enhanced Alternative,H5216,358,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Texas,Wood,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Wood,American Health Advantage of Texas,Local CCP,American Health Advantage of Texas (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H6891,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Texas,Wood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Wood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Wood,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Wood,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Wood,Aetna Medicare,Local CCP,Aetna Medicare Dual Complete Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8597,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,4.0
Texas,Wood,Wellpoint,Local CCP,Wellpoint Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,010,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wood,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,2,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wood,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Wood,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Wood,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Wood,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Saver (HMO),HMO,No,,Enhanced Alternative,H9706,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Wood,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wood,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Wood,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Wood,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Yoakum,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Yoakum,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Yoakum,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Yoakum,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Yoakum,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Yoakum,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Yoakum,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Yoakum,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Yoakum,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Yoakum,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Yoakum,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Yoakum,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Yoakum,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Yoakum,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Young,Humana,Local CCP,HumanaChoice H0473-005 (PPO),Local PPO,No,,Enhanced Alternative,H0473,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Young,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Young,Provider Partners Health Plans,Local CCP,Provider Partners Texas Advantage Plan (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4054,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Texas,Young,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Young,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Young,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Young,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Young,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,369,0,,Yes,$0.00 ,$15.30 ,$0.00 ,$15.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Texas,Young,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Young,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Young,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Young,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Young,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Young,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Young,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Young,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Young,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zapata,Humana,Local CCP,HumanaChoice H0473-004 (PPO),Local PPO,No,,Enhanced Alternative,H0473,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Texas,Zapata,UnitedHealthcare,Local CCP,UHC Dual Complete TX-S003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H4514,021,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Texas,Zapata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Zapata,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Zapata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Zapata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zapata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zapata,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zapata,Humana,Local CCP,HumanaChoice H5216-350 (PPO),Local PPO,No,,Enhanced Alternative,H5216,350,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.5
Texas,Zapata,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zapata,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,011,0,,,$0.00 ,($18.20),$18.20 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Zapata,Wellcare by Allwell,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H5294,012,0,,,$0.00 ,($18.00),$18.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.0,3.0,3.0
Texas,Zapata,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Enhanced Alternative,H5294,013,0,,,$0.00 ,$25.50 ,$0.00 ,$25.50 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Zapata,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zapata,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Zapata,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Zapata,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7678,001,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,2.5,2.5
Texas,Zapata,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7678,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,2.5,2.5
Texas,Zapata,"Molina Healthcare of Texas, Inc.",Local CCP,Molina Medicare Choice Care Select (HMO),HMO,No,,Enhanced Alternative,H7678,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,,,,3.0,2.5,2.5
Texas,Zapata,Prominence Health Plan,Local CCP,Prominence Plus (HMO),HMO,No,,Enhanced Alternative,H7680,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Zapata,Prominence Health Plan,Local CCP,Prominence Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Enhanced Alternative,H7680,007,0,,,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Zapata,Prominence Health Plan,Local CCP,Prominence Extra Help (HMO),HMO,No,,Enhanced Alternative,H7680,009,0,,,$0.00 ,$19.70 ,$0.00 ,$19.70 ,$0.00 ,$545.00 ,,,,4.0,3.0,4.0
Texas,Zapata,Prominence Health Plan,Local CCP,Prominence Beyond (HMO),HMO,No,,Enhanced Alternative,H7680,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Zapata,Prominence Health Plan,Local CCP,Prominence Giveback $130 (HMO),HMO,No,,Enhanced Alternative,H7680,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.0,4.0
Texas,Zapata,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zapata,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zapata,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zapata,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Zapata,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zapata,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Zapata,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zavala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Texas,Zavala,Wellpoint,Local CCP,Wellpoint Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H2593,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Texas,Zavala,Wellpoint,Local CCP,Wellpoint Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,032,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Wellpoint,Local CCP,Wellpoint Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2593,046,0,,Yes,$0.00 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Texas,Zavala,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TX-0038 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4527,051,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.5,4.5
Texas,Zavala,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Complete (PPO),Local PPO,No,,Enhanced Alternative,H4801,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,2.5,3.0
Texas,Zavala,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Flex (PPO),Local PPO,No,,Enhanced Alternative,H4801,014,0,,,$198.90 ,$39.10 ,$0.00 ,$39.10 ,$10.70 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zavala,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Dental Premier (PPO),Local PPO,No,,Enhanced Alternative,H4801,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zavala,"Blue Cross and Blue Shield of OK, TX",Local CCP,Blue Cross Medicare Advantage Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H4801,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,2.5,3.0
Texas,Zavala,Humana,Local CCP,HumanaChoice H5216-042 (PPO),Local PPO,No,,Enhanced Alternative,H5216,042,0,,,$0.00 ,$65.00 ,$0.00 ,$65.00 ,$36.60 ,$200.00 ,1,,,4.5,4.0,4.5
Texas,Zavala,Humana,Local CCP,HumanaChoice H5216-043 (PPO),Local PPO,No,,Enhanced Alternative,H5216,043,1,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Zavala,Humana,Local CCP,HumanaChoice H5216-360 (PPO),Local PPO,No,,Enhanced Alternative,H5216,360,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Texas,Zavala,Wellcare by Allwell,Local CCP,Wellcare Dual Liberty Nurture (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,010,0,,Yes,$0.00 ,$22.60 ,$0.00 ,$22.60 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Wellcare by Allwell,Local CCP,Wellcare Dual Access Harmony (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5294,015,0,,Yes,$0.00 ,$21.80 ,$0.00 ,$21.80 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Wellcare by Allwell,Local CCP,Wellcare Complement Assist (HMO),HMO,No,,Basic Alternative,H5294,016,0,,Yes,$0.00 ,$21.10 ,$0.00 ,$21.10 ,$0.00 ,$505.00 ,1,,,3.0,3.0,3.0
Texas,Zavala,Wellcare by Allwell,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H5294,017,0,,,$0.00 ,($14.40),$14.40 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,3.0,3.0,3.0
Texas,Zavala,UnitedHealthcare,Local CCP,UHC Dual Complete TX-D007 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,025,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Zavala,UnitedHealthcare,Local CCP,UHC Dual Complete TX-V010 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5322,038,0,,Yes,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Texas,Zavala,Humana,PFFS,Humana Gold Choice H8145-084 (PFFS),PFFS,No,,Enhanced Alternative,H8145,084,0,,,$0.00 ,$45.00 ,$0.00 ,$45.00 ,$16.60 ,$250.00 ,1,,Yes,3.5,4.5,4.0
Texas,Zavala,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8849,011,3,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9706,002,0,,Yes,$0.00 ,$21.40 ,$0.00 ,$21.40 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Dental Value (HMO),HMO,No,,Enhanced Alternative,H9706,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,,3.0,3.0,3.0
Texas,Zavala,Blue Cross and Blue Shield of Texas,Local CCP,Blue Cross Medicare Advantage Value (HMO),HMO,No,,Enhanced Alternative,H9706,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Texas,Zavala,Humana,Regional CCP,HumanaChoice R4182-003 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,003,0,,,$15.70 ,$56.30 ,$0.00 ,$56.30 ,$27.90 ,$175.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zavala,Humana,Regional CCP,HumanaChoice R4182-004 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R4182,004,0,,,$1.40 ,$47.60 ,$0.00 ,$47.60 ,$19.20 ,$275.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zavala,UnitedHealthcare,Regional CCP,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Defined Standard Benefit,R6801,008,0,,Yes,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Zavala,UnitedHealthcare,Regional CCP,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,R6801,009,0,,,$1.20 ,$20.80 ,$0.00 ,$20.80 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Texas,Zavala,UnitedHealthcare,Regional CCP,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Yes,Dual-Eligible,Defined Standard Benefit,R6801,011,0,,Yes,$0.00 ,$28.40 ,$0.00 ,$28.40 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Texas,Zavala,UnitedHealthcare,Regional CCP,UHC Medicare Advantage TX-0030 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R6801,012,0,,,$2.10 ,$45.90 ,$0.00 ,$45.90 ,$17.50 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Utah,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,021,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Utah,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,162,0,Yes,,,($18.10),$18.60 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Utah,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,234,0,Yes,,,$34.00 ,$44.90 ,$78.90 ,$44.90 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Utah,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,062,0,Yes,Yes,,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,063,0,Yes,,,$40.30 ,$62.70 ,$103.00 ,$62.70 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,206,0,Yes,,,$7.70 ,$2.20 ,$9.90 ,$2.20 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,153,0,Yes,,,$57.40 ,$0.00 ,$57.40 ,$13.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,276,0,Yes,,,$67.90 ,$10.20 ,$78.10 ,$33.70 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,381,0,Yes,,,($0.80),$14.80 ,$14.00 ,$14.00 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,030,0,Yes,,,$67.00 ,$30.00 ,$97.00 ,$52.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Utah,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,147,0,Yes,,,$47.00 ,$0.00 ,$47.00 ,$2.60 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Utah,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,177,0,Yes,,,$75.70 ,$27.00 ,$102.70 ,$58.30 ,$400.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Utah,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,210,0,Yes,,,$35.10 ,$5.50 ,$40.60 ,$5.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Utah,(All Counties),Regence BlueShield of Idaho and Regence BC BS Utah,PDP,Regence Medicare Script Basic (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5916,001,0,,,,$94.00 ,$0.00 ,$94.00 ,$49.60 ,$515.00 ,1,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Regence BlueShield of Idaho and Regence BC BS Utah,PDP,Regence Medicare Script Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5916,002,0,,,,$74.50 ,$33.50 ,$108.00 ,$63.60 ,$0.00 ,,,Yes,Not Applicable,3.0,Not Applicable
Utah,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,375,0,Yes,Yes,,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Utah,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,412,0,Yes,,,$44.80 ,$7.00 ,$51.80 ,$7.40 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Utah,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,030,0,,Yes,,$41.90 ,$0.00 ,$41.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Utah,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,100,0,,,,$62.50 ,$9.10 ,$71.60 ,$27.20 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Utah,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,133,0,,,,($0.40),$20.70 ,$20.30 ,$20.30 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Utah,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Beaver,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Beaver,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Beaver,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Box Elder,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Box Elder,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Box Elder,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Box Elder,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Box Elder,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Box Elder,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Box Elder,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Box Elder,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Box Elder,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Box Elder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Box Elder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Box Elder,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Box Elder,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Box Elder,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Box Elder,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Box Elder,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Box Elder,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Box Elder,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Box Elder,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Box Elder,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Box Elder,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Box Elder,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Box Elder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Box Elder,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Box Elder,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Box Elder,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Cache,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Cache,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Cache,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Cache,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Cache,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Cache,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Cache,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Cache,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Cache,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Cache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Cache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Cache,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Cache,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Cache,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Cache,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Cache,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Cache,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Cache,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Cache,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Cache,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Cache,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Cache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Cache,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Cache,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Cache,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Carbon,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Carbon,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Carbon,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Daggett,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Daggett,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Daggett,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Daggett,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Daggett,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Davis,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Davis,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Davis,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Davis,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Davis,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Davis,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Davis,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Davis,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Davis,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Davis,Humana,Local CCP,Humana Gold Plus H2486-003 (HMO),HMO,No,,Enhanced Alternative,H2486,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Davis,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Davis,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Davis,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Davis,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Davis,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Davis,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Davis,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Davis,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Davis,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Davis,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Davis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Davis,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Davis,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Duchesne,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Duchesne,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Duchesne,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Duchesne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Duchesne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Duchesne,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Duchesne,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Duchesne,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Duchesne,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Duchesne,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Duchesne,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Duchesne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Duchesne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Duchesne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Emery,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Emery,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Emery,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Emery,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Garfield,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Garfield,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Garfield,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Grand,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Grand,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Grand,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Grand,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Grand,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Grand,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Grand,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Iron,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Iron,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Iron,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Iron,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Iron,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Iron,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2001,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Iron,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Iron,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Iron,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Iron,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Iron,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Iron,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Utah,Iron,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Iron,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Iron,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Iron,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Iron,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Iron,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Iron,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Iron,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Iron,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Juab,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Juab,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Juab,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Juab,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Juab,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Juab,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Juab,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Juab,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Kane,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Kane,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Kane,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Kane,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Millard,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Millard,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Millard,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Millard,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Millard,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Morgan,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Morgan,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Morgan,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Morgan,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Morgan,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Morgan,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Morgan,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Morgan,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Morgan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Morgan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Piute,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Piute,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Piute,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Piute,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Piute,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Rich,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Rich,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Rich,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Rich,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Rich,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Rich,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Rich,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Rich,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Rich,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Rich,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Rich,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Salt Lake,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Salt Lake,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Salt Lake,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Salt Lake,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Salt Lake,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Salt Lake,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Salt Lake,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Salt Lake,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Salt Lake,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Salt Lake,Humana,Local CCP,Humana Gold Plus H2486-003 (HMO),HMO,No,,Enhanced Alternative,H2486,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Salt Lake,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Salt Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Salt Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Salt Lake,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Salt Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Salt Lake,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Salt Lake,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Salt Lake,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Salt Lake,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Salt Lake,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Salt Lake,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Salt Lake,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Salt Lake,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Salt Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Salt Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Salt Lake,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Salt Lake,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,San Juan,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Utah,San Juan,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Sanpete,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Sanpete,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Sanpete,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Sanpete,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Sanpete,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Sanpete,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sanpete,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sanpete,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sanpete,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sanpete,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Sanpete,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Sevier,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Sevier,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Sevier,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sevier,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Sevier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Summit,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Summit,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Summit,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Summit,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Summit,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Summit,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Summit,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Summit,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Summit,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Summit,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Summit,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Summit,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Summit,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Summit,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Summit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Summit,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Summit,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Tooele,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Tooele,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Tooele,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Tooele,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Tooele,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Tooele,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Tooele,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Tooele,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Tooele,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Tooele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Tooele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Tooele,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Tooele,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Tooele,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Tooele,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Tooele,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Tooele,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Tooele,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Tooele,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Tooele,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Tooele,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Tooele,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Tooele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Tooele,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Tooele,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Tooele,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Uintah,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Uintah,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Uintah,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Uintah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Uintah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Uintah,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Uintah,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Uintah,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Uintah,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Uintah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Uintah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Uintah,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Utah,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Utah,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Utah,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Utah,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Utah,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Utah,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Utah,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Utah,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Utah,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Utah,Humana,Local CCP,Humana Gold Plus H2486-003 (HMO),HMO,No,,Enhanced Alternative,H2486,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Utah,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Utah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Utah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Utah,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Utah,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Utah,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Utah,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Utah,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Utah,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Utah,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Utah,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Utah,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Utah,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Utah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Utah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Utah,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Utah,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Wasatch,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Wasatch,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Wasatch,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Wasatch,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Wasatch,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Wasatch,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Wasatch,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Wasatch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Wasatch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Wasatch,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Wasatch,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Wasatch,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Wasatch,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Wasatch,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Wasatch,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Wasatch,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Wasatch,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Wasatch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Wasatch,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Wasatch,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Wasatch,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Washington,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Washington,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Washington,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Washington,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2001,017,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0002 (PPO),Local PPO,No,,Enhanced Alternative,H2001,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Washington,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Washington,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Washington,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Washington,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Washington,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Washington,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Utah,Washington,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Washington,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Washington,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Washington,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Washington,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Washington,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Washington,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Utah,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Wayne,Select Health,Local CCP,Select Health Medicare Classic (HMO),HMO,No,,Enhanced Alternative,H1994,002,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$200.00 ,1,,Yes,5.0,4.5,5.0
Utah,Weber,UnitedHealthcare,Local CCP,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,038,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Weber,UnitedHealthcare,Local CCP,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,039,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Utah,Weber,UnitedHealthcare,Local CCP,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,051,0,,Yes,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Utah,Weber,UnitedHealthcare,Local CCP,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,069,0,,,$0.00 ,$44.00 ,$0.00 ,$44.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Utah,Weber,Select Health,Local CCP,Select Health Medicare Essential (HMO),HMO,No,,Enhanced Alternative,H1994,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,5.0,4.5,5.0
Utah,Weber,Select Health,Local CCP,Select Health Medicare Enhanced (HMO),HMO,No,,Enhanced Alternative,H1994,007,0,,,$0.00 ,$8.10 ,$39.90 ,$48.00 ,$39.90 ,$50.00 ,1,,Yes,5.0,4.5,5.0
Utah,Weber,Select Health,Local CCP,Select Health Medicare Dual (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1994,015,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
Utah,Weber,Select Health,Local CCP,Select Health Medicare + Kroger (HMO),HMO,No,,Enhanced Alternative,H1994,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,4.5,5.0
Utah,Weber,Select Health,Local CCP,Select Health Medicare Choice (PPO),Local PPO,No,,Enhanced Alternative,H2246,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$100.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Utah,Weber,Humana,Local CCP,Humana Gold Plus H2486-003 (HMO),HMO,No,,Enhanced Alternative,H2486,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Weber,American Health Advantage of Utah,Local CCP,American Health Advantage of Utah (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H4232,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Utah,Weber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,003,0,,,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Weber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Weber,UnitedHealthcare,Local CCP,UHC Complete Care UT-0006 (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H4604,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Weber,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC UT-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H4604,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.5
Utah,Weber,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H4605,002,0,,,$16.70 ,$20.30 ,$0.00 ,$20.30 ,$0.00 ,$100.00 ,1,,,4.0,3.5,4.0
Utah,Weber,Regence BlueCross BlueShield of Utah,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H4605,004,0,,,$109.80 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Utah,Weber,Humana,Local CCP,HumanaChoice H5216-131 (PPO),Local PPO,No,,Enhanced Alternative,H5216,131,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Utah,Weber,Humana,Local CCP,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,296,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,246,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5521,398,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,414,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Utah,Weber,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,001,0,,Yes,$0.00 ,$44.40 ,$0.00 ,$44.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Weber,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5628,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.5,3.0
Utah,Weber,Molina Healthcare of Utah & Idaho,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5628,012,0,,Yes,$0.00 ,$30.80 ,$0.00 ,$30.80 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Utah,Weber,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Utah,Weber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0008 (PPO),Local PPO,No,,Enhanced Alternative,H7404,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Utah,Weber,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC UT-0009 (PPO),Local PPO,No,,Enhanced Alternative,H7404,024,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,3.5,4.0,3.5
Utah,Weber,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Advantra (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Utah,Weber,Aetna Medicare,Local CCP,Aetna Medicare Dual Preferred Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8649,010,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Vermont,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S2893,001,0,,,,$53.40 ,$0.00 ,$53.40 ,$9.90 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Vermont,(All Counties),Blue MedicareRx,PDP,Blue MedicareRx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S2893,003,0,,,,$113.10 ,$42.70 ,$155.80 ,$112.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Vermont,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,076,0,Yes,Yes,,$36.80 ,$0.00 ,$36.80 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Vermont,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,137,0,Yes,,,($16.50),$17.00 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Vermont,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,205,0,Yes,,,$35.80 ,$43.00 ,$78.80 ,$43.00 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Vermont,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,004,0,Yes,,,$50.90 ,$0.00 ,$50.90 ,$7.40 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,005,0,Yes,,,$53.50 ,$57.00 ,$110.50 ,$67.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,177,0,Yes,,,$13.30 ,$2.40 ,$15.70 ,$2.40 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,008,0,Yes,,,$54.30 ,$0.00 ,$54.30 ,$10.80 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,247,0,Yes,,,$78.70 ,$11.90 ,$90.60 ,$47.10 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,352,0,Yes,,,$3.80 ,$18.10 ,$21.90 ,$18.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,002,0,Yes,,,$81.10 ,$29.10 ,$110.20 ,$66.70 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Vermont,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,102,0,Yes,,,$67.50 ,$0.00 ,$67.50 ,$24.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Vermont,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,149,0,Yes,,,$86.00 ,$22.40 ,$108.40 ,$64.90 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Vermont,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,182,0,Yes,,,$49.90 ,$4.70 ,$54.60 ,$11.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Vermont,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,348,0,Yes,Yes,,$34.50 ,$0.00 ,$34.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,385,0,Yes,,,$67.10 ,$5.40 ,$72.50 ,$29.00 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Vermont,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,002,0,,,,$110.80 ,$0.00 ,$110.80 ,$67.30 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Vermont,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,072,0,,,,$92.40 ,$10.00 ,$102.40 ,$58.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Vermont,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,105,0,,,,$2.40 ,$25.50 ,$27.90 ,$25.50 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Vermont,Addison,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Addison,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Addison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Addison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Addison,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Addison,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Addison,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Addison,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Addison,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Addison,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Addison,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Addison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Addison,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Addison,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Addison,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Addison,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Addison,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Bennington,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Bennington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Bennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Bennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Bennington,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Bennington,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Bennington,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Bennington,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Bennington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Bennington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Bennington,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Bennington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Bennington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Bennington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Bennington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Bennington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Bennington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Bennington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Bennington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Bennington,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Caledonia,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Caledonia,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Caledonia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Caledonia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Caledonia,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Caledonia,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Caledonia,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Caledonia,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Caledonia,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Caledonia,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Caledonia,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Caledonia,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Caledonia,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Caledonia,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Caledonia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Caledonia,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Caledonia,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Caledonia,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Caledonia,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Caledonia,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Chittenden,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Chittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Chittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Chittenden,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Chittenden,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Chittenden,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Chittenden,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Chittenden,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Chittenden,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Chittenden,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Chittenden,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Chittenden,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Essex,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Essex,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Essex,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Essex,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Essex,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Essex,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Essex,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Essex,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Essex,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Essex,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Essex,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Essex,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Essex,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Essex,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Essex,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Franklin,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Franklin,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Franklin,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Franklin,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Franklin,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Franklin,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Franklin,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Grand Isle,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Grand Isle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Grand Isle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Grand Isle,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Grand Isle,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Grand Isle,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Grand Isle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Grand Isle,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Grand Isle,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Grand Isle,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Grand Isle,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Grand Isle,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Lamoille,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Lamoille,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Lamoille,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Lamoille,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Lamoille,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Lamoille,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Lamoille,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Lamoille,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Lamoille,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Lamoille,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Lamoille,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Lamoille,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Lamoille,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Lamoille,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Lamoille,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Lamoille,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Lamoille,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Orange,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Orange,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Orange,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Orange,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Orange,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Orange,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Orange,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Orange,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Orange,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Orange,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Orange,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Orange,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Orange,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Orange,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Orange,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Orange,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Orange,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Orleans,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Orleans,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Orleans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Orleans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Orleans,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Orleans,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Orleans,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Orleans,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Orleans,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Orleans,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Orleans,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Orleans,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Orleans,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Orleans,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Orleans,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Orleans,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Orleans,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Rutland,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Rutland,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Rutland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Rutland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Rutland,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Rutland,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Rutland,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Rutland,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Rutland,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Rutland,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Rutland,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Rutland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Rutland,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Rutland,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Rutland,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Rutland,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Rutland,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Washington,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Washington,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Washington,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Washington,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Washington,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Washington,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Washington,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Washington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Washington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Washington,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Washington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Washington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Washington,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Washington,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Windham,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Windham,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Windham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Windham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Windham,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Windham,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Windham,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Windham,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Windham,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Windham,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Windham,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Windham,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Windham,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Windham,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Windham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Windham,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Windham,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Windham,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Windham,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Windham,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Windsor,UnitedHealthcare,Local CCP,UHC Medicare Advantage VT-001A (PPO),Local PPO,No,,Defined Standard Benefit,H0271,012,0,,Yes,$0.00 ,$43.50 ,$0.00 ,$43.50 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Vermont,Windsor,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1862,001,0,,,$0.00 ,($8.80),$8.80 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,4.5,Not enough data available
Vermont,Windsor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0001 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,018,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$295.00 ,1,,Yes,3.5,3.5,3.5
Vermont,Windsor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1944,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Vermont,Windsor,MVP HEALTH CARE,Local CCP,MVP Medicare Secure Plus with Part D (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3305,022,0,,,$34.20 ,$63.30 ,$0.00 ,$63.30 ,$14.90 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Windsor,Humana,Local CCP,HumanaChoice H5216-057 (PPO),Local PPO,No,,Enhanced Alternative,H5216,057,0,,,$14.20 ,$54.80 ,$0.00 ,$54.80 ,$18.30 ,$0.00 ,,,Yes,4.5,4.0,4.5
Vermont,Windsor,Humana,Local CCP,HumanaChoice H5216-058 (PPO),Local PPO,No,,Enhanced Alternative,H5216,058,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Windsor,Humana,Local CCP,HumanaChoice H5216-138 (PPO),Local PPO,No,,Enhanced Alternative,H5216,138,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.0,4.5
Vermont,Windsor,Wellcare,Local CCP,Wellcare No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,001,0,,,$0.00 ,($7.40),$7.40 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Vermont,Windsor,Wellcare,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H6594,002,0,,,$0.00 ,($8.70),$8.70 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,3.0,3.0,3.0
Vermont,Windsor,Wellcare,Local CCP,Wellcare Plus Open (PPO),Local PPO,No,,Basic Alternative,H6594,003,0,,Yes,$0.00 ,$27.60 ,$0.00 ,$27.60 ,$0.00 ,$215.00 ,1,,,3.0,3.0,3.0
Vermont,Windsor,Wellcare,Local CCP,Wellcare Assist Open (PPO),Local PPO,No,,Basic Alternative,H6594,004,0,,Yes,$0.00 ,$22.50 ,$0.00 ,$22.50 ,$0.00 ,$420.00 ,1,,,3.0,3.0,3.0
Vermont,Windsor,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Windsor,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Freedom Plus PPO (PPO),Local PPO,No,,Enhanced Alternative,H6898,002,0,,,$47.80 ,$11.20 ,$0.00 ,$11.20 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Vermont,Windsor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VT-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8768,049,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Vermont,Windsor,Vermont Blue Advantage,Local CCP,Vermont Blue Advantage Unity HMO (HMO),HMO,No,,Enhanced Alternative,H9489,001,0,,,$0.00 ,($3.50),$3.50 ,$0.00 ,$0.00 ,$225.00 ,1,,,Not enough data available,5.0,Not enough data available
Vermont,Windsor,MVP HEALTH CARE,Local CCP,UVM Health Advantage Select (PPO),Local PPO,No,,Enhanced Alternative,H9615,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,4.0,3.5
Vermont,Windsor,MVP HEALTH CARE,Local CCP,UVM Health Advantage Secure (PPO),Local PPO,No,,Enhanced Alternative,H9615,016,0,,,$0.00 ,$53.90 ,$0.00 ,$53.90 ,$9.20 ,$150.00 ,1,,,3.5,4.0,3.5
Vermont,Windsor,MVP HEALTH CARE,Local CCP,UVM Health Advantage Preferred (PPO),Local PPO,No,,Enhanced Alternative,H9615,017,0,,,$61.20 ,$66.20 ,$0.00 ,$66.20 ,$21.60 ,$0.00 ,,,,3.5,4.0,3.5
Vermont,Windsor,UnitedHealthcare,Regional CCP,AARP Medicare Advantage from UHC NG-0001 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R7444,001,0,,,$2.10 ,$55.90 ,$0.00 ,$55.90 ,$12.40 ,$395.00 ,1,,Yes,3.5,3.5,3.5
Virgin Islands,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5820,038,0,Yes,,,$94.90 ,$0.00 ,$94.90 ,$94.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Virginia,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,069,0,Yes,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Virginia,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,142,0,Yes,,,($18.90),$18.90 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Virginia,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,210,0,Yes,,,$32.50 ,$46.40 ,$78.90 ,$46.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Virginia,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,005,0,,,,$56.60 ,$0.00 ,$56.60 ,$18.10 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,006,0,,,,$31.60 ,$39.00 ,$70.60 ,$39.00 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,014,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,015,0,Yes,,,$35.60 ,$63.10 ,$98.70 ,$63.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,182,0,Yes,,,$2.60 ,$2.70 ,$5.30 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,216,0,Yes,,,$62.40 ,$0.00 ,$62.40 ,$23.90 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,252,0,Yes,,,$63.70 ,$13.20 ,$76.90 ,$38.40 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,357,0,Yes,,,$2.90 ,$15.90 ,$18.80 ,$15.90 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,006,0,Yes,,,$64.60 ,$31.90 ,$96.50 ,$58.00 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Virginia,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,132,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.90 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Virginia,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,153,0,Yes,,,$81.10 ,$19.00 ,$100.10 ,$61.60 ,$300.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Virginia,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,186,0,Yes,,,$28.70 ,$6.10 ,$34.80 ,$6.10 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,352,0,Yes,Yes,,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,389,0,Yes,,,$42.70 ,$6.60 ,$49.30 ,$10.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,006,0,,,,$96.50 ,$0.00 ,$96.50 ,$58.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,076,0,,,,$68.00 ,$16.40 ,$84.40 ,$45.90 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,109,0,,,,($3.10),$28.10 ,$25.00 ,$25.00 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Accomack,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Accomack,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Accomack,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Accomack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Accomack,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Accomack,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Accomack,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Accomack,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Accomack,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Accomack,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Accomack,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Accomack,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Accomack,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Accomack,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Accomack,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Accomack,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Accomack,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Accomack,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Accomack,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Accomack,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Accomack,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Accomack,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Albemarle,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Albemarle,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Albemarle,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Albemarle,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Albemarle,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Albemarle,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Albemarle,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Albemarle,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Albemarle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Albemarle,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Albemarle,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Albemarle,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Albemarle,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Albemarle,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Albemarle,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Albemarle,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Albemarle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Albemarle,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Albemarle,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Albemarle,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Albemarle,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Albemarle,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Albemarle,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Albemarle,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Albemarle,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Albemarle,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Albemarle,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Albemarle,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Albemarle,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Albemarle,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Albemarle,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Albemarle,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Albemarle,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Alexandria City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alexandria City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alexandria City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Alexandria City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Alexandria City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Alexandria City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Alexandria City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Alexandria City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alexandria City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alexandria City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Alexandria City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alexandria City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alexandria City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alexandria City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Alexandria City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Alexandria City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Alexandria City,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Alexandria City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Alexandria City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Alexandria City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alexandria City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alexandria City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alexandria City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Alexandria City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Alexandria City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Alexandria City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Alexandria City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Alleghany,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alleghany,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alleghany,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Alleghany,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Alleghany,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Alleghany,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alleghany,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alleghany,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Alleghany,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Alleghany,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alleghany,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alleghany,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Alleghany,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Alleghany,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Alleghany,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Alleghany,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Alleghany,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Alleghany,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Alleghany,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alleghany,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Alleghany,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Alleghany,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Alleghany,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Alleghany,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Alleghany,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Alleghany,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Amelia,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amelia,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amelia,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Amelia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Amelia,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Amelia,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Amelia,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Amelia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amelia,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amelia,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Amelia,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Amelia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Amelia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Amelia,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Amelia,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amelia,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amelia,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amelia,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Amelia,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Amelia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Amelia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Amelia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Amelia,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Amelia,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Amelia,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Amelia,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Amelia,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Amelia,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amelia,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amelia,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Amelia,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Amelia,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Amelia,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Amelia,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Amelia,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Amelia,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Amelia,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Amelia,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Amelia,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Amherst,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amherst,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amherst,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Amherst,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Amherst,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Amherst,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Amherst,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Amherst,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amherst,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Amherst,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Amherst,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Amherst,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amherst,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amherst,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Amherst,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Amherst,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Amherst,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Amherst,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Amherst,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Amherst,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Amherst,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Amherst,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Amherst,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amherst,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Amherst,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Amherst,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Amherst,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Amherst,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Amherst,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Amherst,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Amherst,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Appomattox,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Appomattox,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Appomattox,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Appomattox,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Appomattox,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Appomattox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Appomattox,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Appomattox,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Appomattox,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Appomattox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Appomattox,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Appomattox,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Appomattox,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Appomattox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Appomattox,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Appomattox,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Appomattox,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Appomattox,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Appomattox,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Appomattox,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Appomattox,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Appomattox,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Appomattox,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Appomattox,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Appomattox,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Appomattox,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Appomattox,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Appomattox,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Appomattox,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Appomattox,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Appomattox,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Appomattox,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Appomattox,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Appomattox,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Appomattox,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Arlington,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Select (HMO),HMO,No,,Enhanced Alternative,H1339,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Arlington,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Arlington,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Arlington,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Arlington,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Arlington,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Arlington,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Arlington,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Arlington,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Arlington,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Arlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Arlington,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Arlington,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Arlington,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Arlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Arlington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Arlington,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Arlington,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Arlington,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Arlington,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Arlington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Arlington,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Arlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Arlington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Arlington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Arlington,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Arlington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Arlington,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Arlington,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Arlington,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Arlington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Arlington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Arlington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Arlington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Arlington,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Augusta,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Augusta,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Augusta,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Augusta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Augusta,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Augusta,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Augusta,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Augusta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Augusta,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Augusta,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Augusta,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Augusta,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Augusta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Augusta,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Augusta,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Augusta,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Augusta,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Augusta,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Augusta,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Augusta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Augusta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Augusta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Augusta,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Augusta,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Augusta,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Augusta,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Augusta,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Augusta,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Augusta,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Augusta,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Augusta,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Augusta,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Augusta,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Augusta,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Augusta,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Bath,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bath,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bath,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Bath,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bath,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Bath,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bath,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Bath,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bath,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bath,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bath,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bath,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bath,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Bath,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Bath,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Bath,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bath,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bath,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bath,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Bath,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Bath,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Bath,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Bath,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Bath,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Bath,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bath,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bath,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bath,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bath,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Bath,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Bath,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Bath,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Bath,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Bedford,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bedford,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bedford,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Bedford,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bedford,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Bedford,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bedford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bedford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Bedford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Bedford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Bedford,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Bedford,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bedford,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bedford,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bedford,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Bedford,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bedford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Bedford,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Bedford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Bedford,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Bedford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bedford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bedford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bedford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bedford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Bedford,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Bedford,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Bland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Bland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Bland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Bland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Bland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Bland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Bland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Bland,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Bland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Bland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Bland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Bland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Bland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Bland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Bland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Bland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Bland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Bland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Bland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Bland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Botetourt,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Botetourt,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Botetourt,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Botetourt,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Botetourt,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Botetourt,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Botetourt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Botetourt,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Botetourt,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Botetourt,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Botetourt,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Botetourt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Botetourt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Botetourt,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Botetourt,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Botetourt,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Botetourt,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Botetourt,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Botetourt,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Botetourt,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Botetourt,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Botetourt,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Botetourt,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Botetourt,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Botetourt,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Botetourt,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Botetourt,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Botetourt,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Botetourt,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Botetourt,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Bristol City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bristol City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bristol City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Bristol City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bristol City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Bristol City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bristol City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Bristol City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Bristol City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Bristol City,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Bristol City,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Bristol City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Bristol City,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Bristol City,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Bristol City,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bristol City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Bristol City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bristol City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Bristol City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Bristol City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Bristol City,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Bristol City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Bristol City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Brunswick,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Brunswick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Brunswick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Brunswick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Brunswick,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Brunswick,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Brunswick,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Brunswick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Brunswick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Brunswick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Brunswick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Brunswick,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Brunswick,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Brunswick,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Brunswick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Brunswick,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Brunswick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Brunswick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Brunswick,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Brunswick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Brunswick,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Brunswick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Brunswick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Brunswick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Brunswick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Brunswick,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Brunswick,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Brunswick,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Brunswick,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Buchanan,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buchanan,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buchanan,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Buchanan,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buchanan,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Buchanan,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Buchanan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buchanan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buchanan,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Buchanan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buchanan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Buchanan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Buchanan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Buchanan,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buchanan,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Buchanan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Buchanan,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Buchanan,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Buchanan,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Buchanan,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buchanan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buchanan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buchanan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buchanan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Buchanan,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Buchanan,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Buckingham,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buckingham,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buckingham,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Buckingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Buckingham,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buckingham,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Buckingham,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buckingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Buckingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buckingham,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buckingham,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Buckingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buckingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buckingham,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Buckingham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Buckingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Buckingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Buckingham,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buckingham,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buckingham,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buckingham,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Buckingham,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Buckingham,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Buckingham,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Buckingham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Buckingham,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Buckingham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Buckingham,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buckingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buckingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buckingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buckingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Buckingham,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Buckingham,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Buckingham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Buena Vista City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buena Vista City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buena Vista City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Buena Vista City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buena Vista City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Buena Vista City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buena Vista City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Buena Vista City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Buena Vista City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Buena Vista City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Buena Vista City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Buena Vista City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buena Vista City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buena Vista City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Buena Vista City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Buena Vista City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Buena Vista City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Buena Vista City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Buena Vista City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Buena Vista City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Buena Vista City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buena Vista City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Buena Vista City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buena Vista City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Buena Vista City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Buena Vista City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Buena Vista City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Buena Vista City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Campbell,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Campbell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Campbell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Campbell,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Campbell,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Campbell,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Campbell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Campbell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Campbell,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Campbell,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Campbell,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Campbell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Campbell,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Campbell,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Campbell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Campbell,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Campbell,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Campbell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Campbell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Campbell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Campbell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Caroline,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Caroline,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Caroline,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Caroline,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Caroline,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Caroline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Caroline,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Caroline,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Caroline,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Caroline,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Caroline,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Caroline,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Caroline,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Caroline,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Caroline,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Caroline,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Caroline,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Caroline,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Caroline,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Caroline,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Caroline,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Caroline,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Caroline,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Caroline,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Caroline,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Caroline,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Caroline,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Caroline,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Caroline,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Caroline,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Caroline,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Caroline,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Caroline,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Carroll,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Carroll,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Carroll,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Carroll,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Carroll,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Carroll,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Carroll,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Carroll,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Carroll,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Carroll,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Carroll,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Carroll,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Carroll,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Carroll,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Carroll,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Carroll,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Carroll,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Carroll,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Carroll,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Carroll,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Carroll,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Carroll,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Carroll,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Carroll,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Carroll,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Carroll,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Carroll,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Carroll,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Charles City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charles City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charles City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Charles City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Charles City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charles City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Charles City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charles City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charles City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Charles City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charles City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charles City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Charles City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charles City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Charles City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Charles City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charles City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charles City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charles City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Charles City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Charles City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Charles City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Charles City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Charles City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charles City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charles City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charles City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charles City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charles City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Charles City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Charles City,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Charles City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Charles City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Charles City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Charles City,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Charles City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Charlotte,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlotte,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlotte,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Charlotte,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charlotte,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Charlotte,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Charlotte,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlotte,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlotte,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Charlotte,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlotte,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charlotte,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Charlotte,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Charlotte,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlotte,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlotte,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlotte,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Charlotte,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Charlotte,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Charlotte,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Charlotte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Charlotte,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Charlotte,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charlotte,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlotte,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlotte,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charlotte,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charlotte,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Charlotte,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Charlotte,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Charlotte,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Charlottesville City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Charlottesville City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Charlottesville City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Charlottesville City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlottesville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlottesville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Charlottesville City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charlottesville City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Charlottesville City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlottesville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Charlottesville City,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charlottesville City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charlottesville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Charlottesville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Charlottesville City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlottesville City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlottesville City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Charlottesville City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Charlottesville City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Charlottesville City,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Charlottesville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Charlottesville City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Charlottesville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Charlottesville City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlottesville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Charlottesville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charlottesville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Charlottesville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Charlottesville City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Chesapeake City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesapeake City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesapeake City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesapeake City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesapeake City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesapeake City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Chesapeake City,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Chesapeake City,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Chesapeake City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesapeake City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesapeake City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Chesapeake City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Chesapeake City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Chesapeake City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Chesapeake City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Chesapeake City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesapeake City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesapeake City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesapeake City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Chesapeake City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Chesapeake City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Chesapeake City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Chesapeake City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Chesapeake City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesapeake City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesapeake City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Chesapeake City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Chesapeake City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Chesapeake City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Chesapeake City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Chesterfield,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesterfield,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesterfield,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Chesterfield,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesterfield,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesterfield,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Chesterfield,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Chesterfield,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Chesterfield,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesterfield,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Chesterfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Chesterfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Chesterfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Chesterfield,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Chesterfield,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Chesterfield,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesterfield,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Chesterfield,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Chesterfield,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Chesterfield,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Chesterfield,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Chesterfield,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Chesterfield,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Chesterfield,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Chesterfield,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Chesterfield,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Chesterfield,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Chesterfield,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Chesterfield,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Clarke,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Clarke,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Clarke,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Clarke,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Clarke,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Clarke,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Clarke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Clarke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Clarke,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Clarke,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Clarke,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Clarke,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Clarke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Clarke,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Clarke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Clarke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Clarke,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Clarke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Clarke,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Clarke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Clarke,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Clarke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Clarke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Clarke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Clarke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Clarke,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Clarke,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Clarke,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Colonial Heights City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Colonial Heights City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Colonial Heights City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Colonial Heights City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Colonial Heights City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Colonial Heights City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Colonial Heights City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Colonial Heights City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Colonial Heights City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Colonial Heights City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Colonial Heights City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Colonial Heights City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Colonial Heights City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Colonial Heights City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Colonial Heights City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Colonial Heights City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Colonial Heights City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Colonial Heights City,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Colonial Heights City,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Colonial Heights City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Colonial Heights City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Colonial Heights City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Colonial Heights City,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Colonial Heights City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Covington City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Covington City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Covington City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Covington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Covington City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Covington City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Covington City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Covington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Covington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Covington City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Covington City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Covington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Covington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Covington City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Covington City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Covington City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Covington City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Covington City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Covington City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Covington City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Covington City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Covington City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Covington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Covington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Covington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Covington City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Covington City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Covington City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Covington City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Covington City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Covington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Covington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Covington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Covington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Covington City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Covington City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Covington City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Craig,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Craig,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Craig,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Craig,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Craig,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Craig,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Craig,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Craig,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Craig,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Craig,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Craig,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Craig,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Craig,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Craig,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Craig,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Craig,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Craig,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Craig,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Craig,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Craig,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Craig,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Craig,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Craig,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Craig,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Craig,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Craig,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Craig,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Craig,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Craig,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Craig,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Craig,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Craig,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Craig,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Craig,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Craig,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Craig,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Craig,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Culpeper,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Culpeper,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Culpeper,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Culpeper,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Culpeper,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Culpeper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Culpeper,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Culpeper,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Culpeper,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Culpeper,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Culpeper,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Culpeper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Culpeper,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Culpeper,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Culpeper,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Culpeper,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Culpeper,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Culpeper,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Culpeper,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Culpeper,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Culpeper,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Culpeper,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Culpeper,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Culpeper,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Culpeper,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Culpeper,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Culpeper,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Culpeper,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Cumberland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Cumberland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Cumberland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Cumberland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Cumberland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Cumberland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Cumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Cumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Cumberland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Cumberland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Cumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Cumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Cumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Cumberland,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Cumberland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Cumberland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Cumberland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Cumberland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Cumberland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Cumberland,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Cumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Cumberland,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Cumberland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Cumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Cumberland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Cumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Cumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Cumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Cumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Cumberland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Cumberland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Cumberland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Danville City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Danville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Danville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Danville City,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Danville City,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Danville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Danville City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Danville City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Danville City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Danville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Danville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Danville City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Danville City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Danville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Danville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Danville City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Danville City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Danville City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Danville City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Danville City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Danville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Danville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Danville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Danville City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Danville City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Danville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Danville City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Danville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Danville City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Danville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Danville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Danville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Danville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Danville City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Danville City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Danville City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Dickenson,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dickenson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dickenson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Dickenson,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Dickenson,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Dickenson,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Dickenson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dickenson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dickenson,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Dickenson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dickenson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dickenson,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Dickenson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Dickenson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Dickenson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Dickenson,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Dickenson,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Dickenson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Dickenson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Dickenson,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Dickenson,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Dickenson,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dickenson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dickenson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Dickenson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Dickenson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Dickenson,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Dickenson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Dinwiddie,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dinwiddie,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dinwiddie,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Dinwiddie,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Dinwiddie,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Dinwiddie,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dinwiddie,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Dinwiddie,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Dinwiddie,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Dinwiddie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Dinwiddie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Dinwiddie,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Dinwiddie,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Dinwiddie,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dinwiddie,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Dinwiddie,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Dinwiddie,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Dinwiddie,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Dinwiddie,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Dinwiddie,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Dinwiddie,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Dinwiddie,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Dinwiddie,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Dinwiddie,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Dinwiddie,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Emporia City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Emporia City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Emporia City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Emporia City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Emporia City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Emporia City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Emporia City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Emporia City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Emporia City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Emporia City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Emporia City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Emporia City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Emporia City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Emporia City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Emporia City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Emporia City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Emporia City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Emporia City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Emporia City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Emporia City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Emporia City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Emporia City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Emporia City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Emporia City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Emporia City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Emporia City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Emporia City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Emporia City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Emporia City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Emporia City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Emporia City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Emporia City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Essex,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Essex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Essex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Essex,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Essex,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Essex,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Essex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Essex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Essex,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Essex,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Essex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Essex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Essex,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Essex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Essex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Essex,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Essex,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Essex,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Essex,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Essex,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Essex,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Essex,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Essex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Essex,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Essex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Essex,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Essex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Essex,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Essex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Essex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Essex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Essex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Essex,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Essex,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Essex,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Essex,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Fairfax,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Fairfax,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fairfax,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Fairfax,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Fairfax,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Fairfax,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Fairfax,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fairfax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fairfax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Fairfax,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Fairfax City,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Select (HMO),HMO,No,,Enhanced Alternative,H1339,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Fairfax City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Fairfax City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Fairfax City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fairfax City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Fairfax City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fairfax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Fairfax City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Fairfax City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fairfax City,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Fairfax City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Fairfax City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Fairfax City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fairfax City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fairfax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fairfax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fairfax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Fairfax City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Falls Church City,Johns Hopkins Advantage MD,Local CCP,Johns Hopkins Advantage MD Select (HMO),HMO,No,,Enhanced Alternative,H1339,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Falls Church City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Falls Church City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Falls Church City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Falls Church City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Falls Church City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Falls Church City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Falls Church City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Falls Church City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Falls Church City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Falls Church City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Falls Church City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Falls Church City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Falls Church City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Falls Church City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Falls Church City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Falls Church City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Falls Church City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Falls Church City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Falls Church City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Falls Church City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Falls Church City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Falls Church City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Falls Church City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Falls Church City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Falls Church City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Falls Church City,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Falls Church City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Falls Church City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Falls Church City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Falls Church City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Falls Church City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Falls Church City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Falls Church City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Falls Church City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Falls Church City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Falls Church City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Fauquier,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fauquier,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fauquier,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Fauquier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Fauquier,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fauquier,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Fauquier,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fauquier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fauquier,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fauquier,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Fauquier,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Fauquier,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Fauquier,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fauquier,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fauquier,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fauquier,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Fauquier,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fauquier,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fauquier,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Fauquier,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Fauquier,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Fauquier,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fauquier,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fauquier,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fauquier,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fauquier,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fauquier,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Fauquier,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Floyd,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Floyd,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Floyd,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Floyd,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Floyd,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Floyd,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Floyd,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Floyd,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Floyd,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Floyd,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Floyd,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Floyd,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Floyd,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Floyd,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Floyd,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Floyd,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Floyd,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Floyd,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Floyd,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Floyd,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Floyd,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Floyd,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Floyd,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Floyd,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Floyd,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Fluvanna,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fluvanna,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fluvanna,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Fluvanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Fluvanna,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fluvanna,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Fluvanna,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fluvanna,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fluvanna,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fluvanna,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fluvanna,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fluvanna,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Fluvanna,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Fluvanna,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fluvanna,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fluvanna,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fluvanna,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Fluvanna,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Fluvanna,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Fluvanna,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Fluvanna,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fluvanna,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fluvanna,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fluvanna,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fluvanna,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fluvanna,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Fluvanna,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Franklin,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Franklin,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Franklin,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Franklin,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Franklin,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Franklin,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Franklin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Franklin,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Franklin,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Franklin,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Franklin,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Franklin,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Franklin,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Franklin,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Franklin,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Franklin City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Franklin City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Franklin City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Franklin City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Franklin City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Franklin City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Franklin City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Franklin City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Franklin City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Franklin City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Franklin City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Franklin City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Franklin City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Franklin City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Franklin City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Franklin City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Franklin City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Franklin City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Franklin City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Franklin City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Franklin City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Franklin City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Franklin City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Franklin City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Franklin City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Franklin City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Frederick,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Frederick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Frederick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Frederick,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Frederick,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Frederick,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Frederick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Frederick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Frederick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Frederick,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Frederick,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Frederick,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Frederick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Frederick,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Frederick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Frederick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Frederick,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Frederick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Frederick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Frederick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Frederick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Frederick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Frederick,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Fredericksburg City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Fredericksburg City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fredericksburg City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fredericksburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fredericksburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Fredericksburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Fredericksburg City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Fredericksburg City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fredericksburg City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fredericksburg City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Fredericksburg City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Fredericksburg City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fredericksburg City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Fredericksburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Fredericksburg City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Fredericksburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Fredericksburg City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fredericksburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Fredericksburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fredericksburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Fredericksburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Fredericksburg City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Fredericksburg City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Galax City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Galax City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Galax City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Galax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Galax City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Galax City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Galax City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Galax City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Galax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Galax City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Galax City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Galax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Galax City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Galax City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Galax City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Galax City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Galax City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Galax City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Galax City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Galax City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Galax City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Galax City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Galax City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Galax City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Galax City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Galax City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Galax City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Galax City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Galax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Galax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Galax City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Galax City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Galax City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Galax City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Galax City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Giles,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Giles,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Giles,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Giles,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Giles,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Giles,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Giles,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Giles,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Giles,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Giles,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Giles,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Giles,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Giles,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Giles,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Giles,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Giles,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Giles,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Giles,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Giles,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Giles,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Giles,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Giles,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Giles,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Giles,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Giles,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Giles,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Giles,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Giles,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Giles,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Giles,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Giles,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Gloucester,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Gloucester,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Gloucester,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Gloucester,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Gloucester,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Gloucester,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Gloucester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Gloucester,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Gloucester,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Gloucester,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Gloucester,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Gloucester,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Gloucester,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Gloucester,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Gloucester,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Gloucester,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Gloucester,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Gloucester,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Gloucester,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Gloucester,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Gloucester,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Gloucester,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Gloucester,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Gloucester,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Goochland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Goochland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Goochland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Goochland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Goochland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Goochland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Goochland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Goochland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Goochland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Goochland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Goochland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Goochland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Goochland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Goochland,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Goochland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Goochland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Goochland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Goochland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Goochland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Goochland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Goochland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Goochland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Goochland,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Goochland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Goochland,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Goochland,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Goochland,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Goochland,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Goochland,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Goochland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Goochland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Goochland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Goochland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Goochland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Goochland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Goochland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Goochland,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Goochland,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Goochland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Goochland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Goochland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Goochland,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Goochland,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Goochland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Grayson,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Grayson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Grayson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Grayson,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Grayson,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Grayson,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Grayson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Grayson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Grayson,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Grayson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Grayson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Grayson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Grayson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Grayson,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Grayson,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Grayson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Grayson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Grayson,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Grayson,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Grayson,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Grayson,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Grayson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Grayson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Grayson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Grayson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Grayson,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Grayson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Grayson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Grayson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Greene,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greene,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greene,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Greene,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Greene,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Greene,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Greene,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greene,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greene,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Greene,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Greene,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Greene,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greene,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greene,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greene,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Greene,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Greene,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Greene,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Greene,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greene,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greene,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Greene,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Greene,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Greene,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Greene,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Greensville,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greensville,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greensville,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Greensville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Greensville,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Greensville,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Greensville,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Greensville,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greensville,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Greensville,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Greensville,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Greensville,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Greensville,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greensville,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greensville,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Greensville,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Greensville,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Greensville,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Greensville,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Greensville,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Greensville,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Greensville,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Greensville,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Greensville,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greensville,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Greensville,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Greensville,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Greensville,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Greensville,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Greensville,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Greensville,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Greensville,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Halifax,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Halifax,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Halifax,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Halifax,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Halifax,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Halifax,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Halifax,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Halifax,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Halifax,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Halifax,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Halifax,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Halifax,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Halifax,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Halifax,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Halifax,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Halifax,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Halifax,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Halifax,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Halifax,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Halifax,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Halifax,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Halifax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Halifax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Halifax,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Halifax,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Halifax,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Halifax,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Halifax,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Hampton City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hampton City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hampton City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hampton City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hampton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hampton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Hampton City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hampton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hampton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hampton City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Hampton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Hampton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Hampton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Hampton City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Hampton City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hampton City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hampton City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hampton City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Hampton City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Hampton City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Hampton City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Hampton City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Hampton City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hampton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hampton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hampton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hampton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Hampton City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Hampton City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Hanover,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hanover,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hanover,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Hanover,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Hanover,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Hanover,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Hanover,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hanover,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Hanover,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hanover,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hanover,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hanover,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Hanover,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Hanover,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Hanover,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Hanover,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Hanover,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Hanover,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hanover,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hanover,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hanover,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Hanover,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Hanover,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hanover,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hanover,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Hanover,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Hanover,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Hanover,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hanover,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hanover,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hanover,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hanover,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Hanover,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Hanover,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Hanover,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Hanover,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Hanover,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Hanover,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Hanover,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Hanover,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Hanover,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Harrisonburg City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Harrisonburg City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Harrisonburg City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Harrisonburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Harrisonburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Harrisonburg City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Harrisonburg City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Harrisonburg City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Harrisonburg City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Harrisonburg City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Harrisonburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Harrisonburg City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Harrisonburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Harrisonburg City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Harrisonburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Harrisonburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Harrisonburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Harrisonburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Harrisonburg City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Harrisonburg City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Harrisonburg City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Harrisonburg City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Henrico,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Henrico,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Henrico,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Henrico,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henrico,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henrico,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Henrico,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Henrico,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Henrico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Henrico,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Henrico,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Henrico,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Henrico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henrico,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henrico,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Henrico,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Henrico,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Henrico,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Henrico,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Henrico,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Henrico,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henrico,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henrico,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henrico,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Henrico,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Henrico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Henrico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Henrico,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Henrico,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Henrico,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Henrico,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henrico,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henrico,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Henrico,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Henrico,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Henrico,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Henrico,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Henrico,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Henrico,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Henrico,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Henrico,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Henrico,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Henrico,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Henrico,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Henry,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henry,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henry,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Henry,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Henry,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Henry,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Henry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Henry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Henry,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henry,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henry,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Henry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Henry,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Henry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Henry,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Henry,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Henry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Henry,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Henry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Henry,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Henry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Henry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Henry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Henry,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Highland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Highland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Highland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Highland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Highland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Highland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Highland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Highland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Highland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Highland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Highland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Highland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Highland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Highland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Highland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Highland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Highland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Highland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Highland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Highland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Highland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Highland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Highland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Highland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Highland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Highland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Highland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Highland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Highland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Highland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Highland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Highland,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Highland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Hopewell City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hopewell City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hopewell City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Hopewell City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hopewell City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hopewell City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Hopewell City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hopewell City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Hopewell City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Hopewell City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hopewell City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Hopewell City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Hopewell City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Hopewell City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Hopewell City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Hopewell City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Hopewell City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hopewell City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hopewell City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Hopewell City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Hopewell City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Hopewell City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Hopewell City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hopewell City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Hopewell City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hopewell City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Hopewell City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Hopewell City,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Hopewell City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Hopewell City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Hopewell City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Isle of Wight,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Isle of Wight,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Isle of Wight,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Isle of Wight,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Isle of Wight,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Isle of Wight,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Isle of Wight,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Isle of Wight,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Isle of Wight,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Isle of Wight,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Isle of Wight,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Isle of Wight,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Isle of Wight,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Isle of Wight,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Isle of Wight,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Isle of Wight,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Isle of Wight,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Isle of Wight,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Isle of Wight,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Isle of Wight,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Isle of Wight,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Isle of Wight,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Isle of Wight,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Isle of Wight,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Isle of Wight,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Isle of Wight,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Isle of Wight,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,James City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,James City,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,James City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,James City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,James City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,James City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,James City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,James City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,James City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,James City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,James City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,James City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,James City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,James City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,James City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,James City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,James City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,James City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,James City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,James City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,James City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,James City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,James City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,James City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,James City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,James City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,James City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,James City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,James City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,James City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,King George,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King George,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King George,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,King George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,King George,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King George,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,King George,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King George,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,King George,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,King George,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,King George,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,King George,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,King George,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,King George,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,King George,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,King George,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,King William,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King William,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King William,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,King William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,King William,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King William,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,King William,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King William,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,King William,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,King William,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,King William,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,King William,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King William,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King William,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King William,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,King William,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,King William,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,King William,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,King William,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,King William,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,King William,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,King William,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,King William,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,King William,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,King William,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,King and Queen,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King and Queen,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King and Queen,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,King and Queen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,King and Queen,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King and Queen,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,King and Queen,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,King and Queen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,King and Queen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King and Queen,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King and Queen,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,King and Queen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King and Queen,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,King and Queen,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,King and Queen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,King and Queen,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,King and Queen,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,King and Queen,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King and Queen,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King and Queen,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,King and Queen,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,King and Queen,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,King and Queen,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,King and Queen,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,King and Queen,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,King and Queen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,King and Queen,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,King and Queen,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,King and Queen,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,King and Queen,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King and Queen,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,King and Queen,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King and Queen,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,King and Queen,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,King and Queen,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,King and Queen,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,King and Queen,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Lancaster,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lancaster,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lancaster,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lancaster,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lancaster,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Lancaster,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lancaster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Lancaster,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lancaster,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lancaster,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lancaster,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lancaster,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Lancaster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lancaster,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Lancaster,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lancaster,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lancaster,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lancaster,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Lancaster,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Lancaster,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Lancaster,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Lancaster,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Lancaster,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lancaster,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lancaster,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lancaster,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lancaster,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lancaster,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Lancaster,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Lancaster,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Lancaster,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Lancaster,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Lee,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lee,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lee,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Lee,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lee,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Lee,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Lee,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lee,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lee,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lee,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lee,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Lee,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lee,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Lee,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Lee,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Lee,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Lee,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lee,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lee,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lee,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lee,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Lee,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Lee,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Lexington City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lexington City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lexington City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lexington City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lexington City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Lexington City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lexington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lexington City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lexington City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Lexington City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lexington City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lexington City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Lexington City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lexington City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lexington City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lexington City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Lexington City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Lexington City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Lexington City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Lexington City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Lexington City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lexington City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lexington City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lexington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lexington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lexington City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Lexington City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Lexington City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Lexington City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Loudoun,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Loudoun,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Loudoun,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Loudoun,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Loudoun,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Loudoun,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Loudoun,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Loudoun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Loudoun,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Loudoun,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Loudoun,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Loudoun,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Loudoun,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Loudoun,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Loudoun,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Loudoun,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Loudoun,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Loudoun,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,Erickson Advantage Signature (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,001,0,,,$113.60 ,$54.40 ,$0.00 ,$54.40 ,$11.80 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,Erickson Advantage Guardian (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5652,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,Erickson Advantage Champion (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5652,004,0,,,$150.80 ,$37.20 ,$0.00 ,$37.20 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,Erickson Advantage Freedom (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,006,0,,,$4.70 ,$59.30 ,$0.00 ,$59.30 ,$18.60 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,Erickson Advantage Liberty (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5652,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Loudoun,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Loudoun,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Loudoun,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Loudoun,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Loudoun,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Loudoun,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Loudoun,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Loudoun,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Loudoun,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Louisa,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Louisa,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Louisa,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Louisa,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Louisa,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Louisa,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Louisa,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Louisa,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Louisa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Louisa,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Louisa,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Louisa,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Louisa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Louisa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Louisa,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Louisa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Louisa,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Louisa,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Louisa,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Louisa,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Louisa,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Louisa,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Louisa,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Louisa,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Louisa,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Lunenburg,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lunenburg,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lunenburg,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Lunenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lunenburg,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lunenburg,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Lunenburg,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lunenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lunenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lunenburg,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Lunenburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lunenburg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lunenburg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Lunenburg,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lunenburg,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lunenburg,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lunenburg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Lunenburg,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Lunenburg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Lunenburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Lunenburg,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Lunenburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lunenburg,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lunenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lunenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lunenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lunenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Lunenburg,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Lunenburg,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Lunenburg,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Lynchburg City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lynchburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lynchburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Lynchburg City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lynchburg City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Lynchburg City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Lynchburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lynchburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Lynchburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Lynchburg City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lynchburg City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lynchburg City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Lynchburg City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Lynchburg City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Lynchburg City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Lynchburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Lynchburg City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Lynchburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lynchburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Lynchburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lynchburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Lynchburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Lynchburg City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Madison,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Madison,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Madison,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Madison,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Madison,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Madison,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Madison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Madison,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Madison,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Madison,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Madison,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Madison,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Madison,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Madison,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Madison,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Madison,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Madison,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Madison,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Madison,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Madison,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Madison,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Madison,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Madison,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Madison,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Madison,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Madison,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Madison,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Manassas City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Manassas City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Manassas City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Manassas City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Manassas City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Manassas City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Manassas City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Manassas City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Manassas City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Manassas City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas City,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Manassas City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Manassas City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Manassas City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Manassas City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Manassas City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Manassas City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Manassas City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Manassas City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Manassas Park City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas Park City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas Park City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Manassas Park City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Manassas Park City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Manassas Park City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Manassas Park City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas Park City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas Park City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Manassas Park City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Manassas Park City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Manassas Park City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas Park City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas Park City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Manassas Park City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Manassas Park City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas Park City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Manassas Park City,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Manassas Park City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Manassas Park City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Manassas Park City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Manassas Park City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas Park City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Manassas Park City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Manassas Park City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Manassas Park City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Manassas Park City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Martinsville City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Martinsville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Martinsville City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Martinsville City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Martinsville City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Martinsville City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Martinsville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Martinsville City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Martinsville City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Martinsville City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Martinsville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Martinsville City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Martinsville City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Martinsville City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Martinsville City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Martinsville City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Martinsville City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Martinsville City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Martinsville City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Martinsville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Martinsville City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Martinsville City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Martinsville City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Martinsville City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Martinsville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Martinsville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Martinsville City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Martinsville City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Mathews,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mathews,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mathews,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Mathews,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Mathews,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Mathews,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mathews,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mathews,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Mathews,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Mathews,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Mathews,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mathews,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mathews,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mathews,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Mathews,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Mathews,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Mathews,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Mathews,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Mathews,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mathews,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mathews,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Mathews,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Mathews,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Mathews,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Mathews,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Mathews,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Mecklenburg,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mecklenburg,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mecklenburg,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Mecklenburg,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Mecklenburg,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Mecklenburg,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mecklenburg,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Mecklenburg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Mecklenburg,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Mecklenburg,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Mecklenburg,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Mecklenburg,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Mecklenburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Mecklenburg,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Mecklenburg,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Mecklenburg,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mecklenburg,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Mecklenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Mecklenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Mecklenburg,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Mecklenburg,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Mecklenburg,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Mecklenburg,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Mecklenburg,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Middlesex,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Middlesex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Middlesex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Middlesex,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Middlesex,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Middlesex,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Middlesex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Middlesex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Middlesex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Middlesex,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Middlesex,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Middlesex,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Middlesex,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Middlesex,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Middlesex,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Middlesex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Middlesex,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Middlesex,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Middlesex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Middlesex,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Middlesex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Middlesex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Middlesex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Middlesex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Middlesex,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Middlesex,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Montgomery,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Montgomery,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Montgomery,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Montgomery,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Montgomery,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Montgomery,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Montgomery,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Montgomery,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Montgomery,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Montgomery,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Montgomery,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Montgomery,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Montgomery,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Montgomery,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Montgomery,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Montgomery,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Montgomery,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Montgomery,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Montgomery,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Montgomery,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Montgomery,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Montgomery,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Montgomery,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Nelson,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nelson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nelson,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Nelson,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Nelson,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Nelson,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Nelson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Nelson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nelson,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nelson,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Nelson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nelson,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nelson,Aetna Medicare,Local CCP,Aetna Medicare UVA Health System Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,124,0,,,$0.00 ,$27.00 ,$0.00 ,$27.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Nelson,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Nelson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Nelson,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nelson,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nelson,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nelson,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Nelson,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Nelson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Nelson,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Nelson,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Nelson,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nelson,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nelson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Nelson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Nelson,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Nelson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Nelson,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Nelson,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,New Kent,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,New Kent,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,New Kent,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,New Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,New Kent,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,New Kent,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,New Kent,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,New Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,New Kent,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,New Kent,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,New Kent,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,New Kent,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,New Kent,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,New Kent,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,New Kent,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,New Kent,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,New Kent,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,New Kent,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,New Kent,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,New Kent,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,New Kent,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,New Kent,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,New Kent,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,New Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,New Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,New Kent,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,New Kent,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,New Kent,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,New Kent,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,New Kent,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,New Kent,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,New Kent,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,New Kent,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,New Kent,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,New Kent,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,New Kent,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,New Kent,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,New Kent,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,New Kent,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Newport News City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Newport News City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Newport News City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Newport News City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Newport News City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Newport News City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Newport News City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Newport News City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Newport News City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Newport News City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Newport News City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Newport News City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Newport News City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Newport News City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Newport News City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Newport News City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Newport News City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Newport News City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Newport News City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Newport News City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Newport News City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Newport News City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Newport News City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Newport News City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Newport News City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Norfolk City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Norfolk City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Norfolk City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Norfolk City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norfolk City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norfolk City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Norfolk City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Norfolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norfolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norfolk City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Norfolk City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Norfolk City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Norfolk City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Norfolk City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Norfolk City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Norfolk City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Norfolk City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Norfolk City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Norfolk City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Norfolk City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Norfolk City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Norfolk City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norfolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norfolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Norfolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Norfolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Norfolk City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Norfolk City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Northampton,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northampton,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northampton,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Northampton,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Northampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Northampton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Northampton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Northampton,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Northampton,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northampton,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northampton,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northampton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Northampton,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northampton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northampton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Northampton,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Northampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Northampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Northampton,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Northampton,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Northumberland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northumberland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northumberland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Northumberland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Northumberland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Northumberland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Northumberland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northumberland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Northumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Northumberland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Northumberland,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Northumberland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northumberland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northumberland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Northumberland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Northumberland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northumberland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Northumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Northumberland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Northumberland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Northumberland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northumberland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Northumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Northumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Northumberland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Northumberland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Northumberland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Norton City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Norton City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Norton City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Norton City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Norton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norton City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norton City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Norton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Norton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Norton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Norton City,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Norton City,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Norton City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Norton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Norton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Norton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Norton City,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Norton City,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Norton City,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Norton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Norton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Norton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Norton City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Norton City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Norton City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Nottoway,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nottoway,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nottoway,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Nottoway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Nottoway,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Nottoway,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Nottoway,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Nottoway,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nottoway,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Nottoway,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Nottoway,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Nottoway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Nottoway,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Nottoway,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nottoway,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nottoway,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Nottoway,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Nottoway,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Nottoway,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Nottoway,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Nottoway,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Nottoway,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Nottoway,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nottoway,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Nottoway,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Nottoway,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Nottoway,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Nottoway,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Nottoway,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Nottoway,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Nottoway,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Orange,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Orange,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Orange,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Orange,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Orange,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Orange,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Orange,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Orange,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Orange,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Orange,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Orange,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Orange,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Orange,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Orange,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Orange,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Orange,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Orange,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Orange,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Orange,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Orange,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Orange,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Orange,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Page,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Page,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Page,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Page,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Page,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Page,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Page,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Page,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Page,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Page,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Page,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Page,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Page,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Page,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Page,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Page,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Page,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Page,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Page,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Page,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Page,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Page,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Page,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Page,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Page,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Page,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Page,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Page,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Page,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Page,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Page,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Page,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Page,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Page,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Patrick,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Patrick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Patrick,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Patrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Patrick,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Patrick,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Patrick,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Patrick,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Patrick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Patrick,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Patrick,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Patrick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Patrick,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Patrick,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Patrick,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Patrick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Patrick,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Patrick,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Patrick,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Patrick,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Patrick,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Patrick,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Patrick,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Patrick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Patrick,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Patrick,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Patrick,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Patrick,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Patrick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Patrick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Patrick,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Patrick,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Patrick,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Patrick,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Patrick,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Petersburg City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Petersburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Petersburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Petersburg City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Petersburg City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Petersburg City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Petersburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Petersburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Petersburg City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Petersburg City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Petersburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Petersburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Petersburg City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Petersburg City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Petersburg City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Petersburg City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Petersburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Petersburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Petersburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Petersburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Petersburg City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Petersburg City,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Petersburg City,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Petersburg City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Petersburg City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Petersburg City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Petersburg City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Petersburg City,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Petersburg City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Pittsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pittsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pittsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Pittsylvania,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Pittsylvania,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Pittsylvania,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Pittsylvania,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Pittsylvania,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pittsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pittsylvania,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,099,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Pittsylvania,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Pittsylvania,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Pittsylvania,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Pittsylvania,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pittsylvania,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pittsylvania,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pittsylvania,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Pittsylvania,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Pittsylvania,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Pittsylvania,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Pittsylvania,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Pittsylvania,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Pittsylvania,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Pittsylvania,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pittsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pittsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Pittsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Pittsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Pittsylvania,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Pittsylvania,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Pittsylvania,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Pittsylvania,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Poquoson City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Poquoson City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Poquoson City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Poquoson City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Poquoson City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Poquoson City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Poquoson City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Poquoson City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Poquoson City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Poquoson City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Poquoson City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Poquoson City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Poquoson City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Poquoson City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Poquoson City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Poquoson City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Poquoson City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Poquoson City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Poquoson City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Poquoson City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Poquoson City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Poquoson City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Poquoson City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Poquoson City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Poquoson City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Poquoson City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Poquoson City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Portsmouth City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Portsmouth City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Portsmouth City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Portsmouth City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Portsmouth City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Portsmouth City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Portsmouth City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Portsmouth City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Portsmouth City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Portsmouth City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Portsmouth City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Portsmouth City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Portsmouth City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Portsmouth City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Portsmouth City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Portsmouth City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Portsmouth City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Portsmouth City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Portsmouth City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Portsmouth City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Portsmouth City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Portsmouth City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Portsmouth City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Portsmouth City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Portsmouth City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Portsmouth City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Portsmouth City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Portsmouth City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Powhatan,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Powhatan,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Powhatan,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Powhatan,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Powhatan,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Powhatan,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Powhatan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Powhatan,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Powhatan,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Powhatan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Powhatan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Powhatan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Powhatan,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Powhatan,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Powhatan,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Powhatan,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Powhatan,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Powhatan,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Powhatan,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Powhatan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Powhatan,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Powhatan,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Powhatan,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Powhatan,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Powhatan,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Powhatan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Powhatan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Powhatan,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Powhatan,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Powhatan,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Powhatan,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Powhatan,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Powhatan,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Powhatan,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Powhatan,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Powhatan,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Prince Edward,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince Edward,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince Edward,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1659,002,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Medicare Advantage VA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1659,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Prince Edward,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince Edward,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Prince Edward,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince Edward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince Edward,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince Edward,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Prince Edward,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Prince Edward,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince Edward,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince Edward,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince Edward,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Prince Edward,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Prince Edward,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Prince Edward,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Prince Edward,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Prince Edward,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince Edward,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince Edward,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince Edward,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince Edward,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Prince Edward,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Prince Edward,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Prince Edward,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Prince Edward,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Prince George,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince George,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince George,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Prince George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Prince George,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince George,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Prince George,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince George,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince George,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince George,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Prince George,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince George,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Prince George,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Prince George,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Prince George,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince George,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince George,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince George,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Prince George,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Prince George,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince George,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince George,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince George,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Prince George,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Prince George,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Prince George,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Prince William,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince William,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince William,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Prince William,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Care Plus (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,013,0,,,$0.00 ,$30.00 ,$0.00 ,$30.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0015 (PPO),Local PPO,No,,Enhanced Alternative,H2406,122,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Prince William,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince William,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Prince William,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Prince William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H2577,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,3.5,3.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince William,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince William,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Prince William,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince William,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince William,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Prince William,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Prince William,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Prince William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Prince William,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Prince William,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Prince William,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Prince William,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Prince William,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Prince William,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Prince William,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince William,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Prince William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Prince William,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Prince William,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Pulaski,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pulaski,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pulaski,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Pulaski,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Pulaski,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Pulaski,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Pulaski,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Pulaski,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pulaski,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Pulaski,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Pulaski,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Pulaski,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pulaski,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pulaski,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Pulaski,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Pulaski,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Pulaski,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Pulaski,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pulaski,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Pulaski,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Pulaski,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Pulaski,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Pulaski,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Pulaski,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Pulaski,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Radford City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Radford City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Radford City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Radford City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Radford City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Radford City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Radford City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Radford City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Radford City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Radford City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Radford City,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Radford City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Radford City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Radford City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Radford City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Radford City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Radford City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Radford City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Radford City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Radford City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Radford City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Radford City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Radford City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Radford City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Radford City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Radford City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Radford City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Radford City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Radford City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Radford City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Radford City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Radford City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Radford City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Rappahannock,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rappahannock,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rappahannock,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Rappahannock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Rappahannock,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rappahannock,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Rappahannock,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rappahannock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rappahannock,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rappahannock,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rappahannock,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rappahannock,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rappahannock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Rappahannock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Rappahannock,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Rappahannock,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rappahannock,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rappahannock,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rappahannock,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Rappahannock,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Rappahannock,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Rappahannock,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Rappahannock,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Rappahannock,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Rappahannock,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Rappahannock,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rappahannock,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rappahannock,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rappahannock,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rappahannock,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rappahannock,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Rappahannock,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Rappahannock,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Rappahannock,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Rappahannock,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Richmond,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Richmond,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Richmond,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Richmond,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Richmond,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Richmond,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Richmond,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Richmond,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Richmond,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Richmond,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Richmond,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Richmond,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Richmond,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Richmond,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Richmond,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Richmond,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Richmond,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Richmond,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Richmond,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Richmond,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Richmond,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Richmond,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Richmond City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Richmond City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Richmond City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Richmond City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Richmond City,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Richmond City,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Richmond City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0017 (PPO),Local PPO,No,,Enhanced Alternative,H2406,124,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Richmond City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Richmond City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Richmond City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Richmond City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0005 (PPO),Local PPO,No,,Enhanced Alternative,H2577,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Lung Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Premium Savings (HMO),HMO,No,,Enhanced Alternative,H3447,005,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem I Carelon Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Richmond City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Richmond City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Richmond City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Richmond City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Richmond City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Richmond City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Richmond City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Richmond City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Richmond City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,2,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Richmond City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Richmond City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,345,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Richmond City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Richmond City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Richmond City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Richmond City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Richmond City,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,070,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Richmond City,Cigna Healthcare,Local CCP,Cigna True Choice Plus Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,071,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Richmond City,Clear Spring Health,Local CCP,Clear Spring Health Essential (PPO),Local PPO,No,,Enhanced Alternative,H8014,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Virginia,Richmond City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Richmond City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Richmond City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Richmond City,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Richmond City,Cigna Healthcare,Local CCP,Cigna Preferred Plus Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Richmond City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Roanoke,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Roanoke,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Roanoke,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Roanoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Roanoke,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Roanoke,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Roanoke,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Roanoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Roanoke,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Roanoke,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Roanoke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Roanoke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Roanoke,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Roanoke,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Roanoke,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Roanoke,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Roanoke,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Roanoke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Roanoke,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Roanoke,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Roanoke,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Roanoke,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Roanoke,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,059,0,,,$0.00 ,$41.30 ,$0.00 ,$41.30 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Virginia,Roanoke City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Roanoke City,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Roanoke City,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Roanoke City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Roanoke City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Roanoke City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Roanoke City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Roanoke City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Roanoke City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Roanoke City,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Roanoke City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Roanoke City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Roanoke City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Roanoke City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Roanoke City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Roanoke City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Roanoke City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Roanoke City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Roanoke City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Roanoke City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Roanoke City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Roanoke City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Roanoke City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Roanoke City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Roanoke City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Roanoke City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Rockbridge,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockbridge,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockbridge,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Rockbridge,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rockbridge,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Rockbridge,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rockbridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockbridge,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockbridge,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Rockbridge,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rockbridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Rockbridge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Rockbridge,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockbridge,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockbridge,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockbridge,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Rockbridge,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Rockbridge,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Rockbridge,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Rockbridge,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Rockbridge,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rockbridge,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockbridge,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockbridge,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rockbridge,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rockbridge,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Rockbridge,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Rockbridge,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Rockbridge,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Rockingham,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockingham,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockingham,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Rockingham,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rockingham,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Rockingham,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockingham,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Rockingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Rockingham,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Rockingham,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockingham,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockingham,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Rockingham,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Rockingham,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Rockingham,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Rockingham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Rockingham,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Rockingham,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Rockingham,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockingham,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Rockingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rockingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Rockingham,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Rockingham,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Rockingham,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Rockingham,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Rockingham,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Russell,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Russell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Russell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Russell,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Russell,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Russell,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Russell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Russell,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Russell,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Russell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Russell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Russell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Russell,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Russell,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Russell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Russell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Russell,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Russell,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Russell,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Russell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Russell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Russell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Russell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Russell,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Russell,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Russell,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Russell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Salem City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Salem City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Salem City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Salem City,Align Senior Care,Local CCP,Senior Care (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H2185,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Salem City,Align Senior Care,Local CCP,LifeWorks Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H2185,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.0,Not enough data available
Virginia,Salem City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Salem City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Salem City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Salem City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Salem City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Salem City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Salem City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Salem City,Aetna Medicare,Local CCP,Aetna Medicare Carilion Health Prime (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,158,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Salem City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Salem City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Salem City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Salem City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Salem City,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Salem City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Salem City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Salem City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Salem City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Salem City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Salem City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Salem City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Salem City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus H5377-002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5377,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,3.5,Not enough data available
Virginia,Salem City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus H5619-135 (HMO),HMO,No,,Enhanced Alternative,H5619,135,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Salem City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Salem City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Salem City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Salem City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Salem City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Salem City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Salem City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Salem City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Salem City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Scott,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Scott,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Scott,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Scott,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Scott,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Scott,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Scott,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Scott,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Scott,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Scott,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Scott,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Scott,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Scott,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Scott,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Scott,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Scott,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Scott,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Scott,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Scott,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Scott,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Scott,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Scott,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Scott,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Scott,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Scott,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Scott,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Scott,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Shenandoah,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Shenandoah,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Shenandoah,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Shenandoah,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Shenandoah,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Shenandoah,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Shenandoah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Shenandoah,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Shenandoah,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Shenandoah,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Shenandoah,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Shenandoah,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Shenandoah,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Shenandoah,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Shenandoah,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Shenandoah,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Shenandoah,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Shenandoah,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Shenandoah,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Shenandoah,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Shenandoah,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Shenandoah,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Shenandoah,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Shenandoah,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Smyth,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Smyth,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Smyth,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Smyth,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Smyth,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Smyth,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Smyth,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Smyth,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Smyth,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Smyth,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Smyth,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Smyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Smyth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Smyth,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Smyth,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Smyth,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Smyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Smyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Smyth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Smyth,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Smyth,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Smyth,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Smyth,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Smyth,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Smyth,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Smyth,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Smyth,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Smyth,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Southampton,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Southampton,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Southampton,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Southampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Southampton,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Southampton,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Southampton,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Southampton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Southampton,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Southampton,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Southampton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Southampton,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Southampton,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Southampton,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Southampton,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Southampton,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Southampton,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Southampton,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Southampton,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Southampton,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Southampton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Southampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Southampton,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Southampton,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Southampton,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Southampton,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Southampton,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Southampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Southampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Southampton,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Southampton,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Southampton,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Southampton,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Southampton,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Spotsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Spotsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Spotsylvania,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Spotsylvania,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Spotsylvania,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Spotsylvania,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Spotsylvania,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Spotsylvania,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Spotsylvania,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Spotsylvania,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Spotsylvania,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Spotsylvania,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Spotsylvania,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Spotsylvania,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Spotsylvania,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Spotsylvania,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Spotsylvania,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Spotsylvania,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Spotsylvania,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Spotsylvania,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Spotsylvania,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Spotsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Spotsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Spotsylvania,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Spotsylvania,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Spotsylvania,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Stafford,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Stafford,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Stafford,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Stafford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage High VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,008,0,,,$59.00 ,$75.00 ,$0.00 ,$75.00 ,$36.50 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Stafford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Standard VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,009,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Stafford,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Value VA (HMO-POS),HMOPOS,No,,Enhanced Alternative,H2172,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Stafford,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Stafford,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Stafford,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Stafford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Stafford,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Stafford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Stafford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Stafford,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Stafford,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Stafford,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Stafford,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Stafford,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Stafford,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Stafford,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Stafford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Stafford,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Stafford,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Stafford,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Stafford,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Stafford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Stafford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Stafford,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Stafford,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Stafford,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Staunton City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Staunton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Staunton City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Staunton City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Staunton City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Staunton City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Staunton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Staunton City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Staunton City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Staunton City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Staunton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Staunton City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Staunton City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Staunton City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Staunton City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Staunton City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Staunton City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Staunton City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Staunton City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Staunton City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Staunton City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Staunton City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Staunton City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Staunton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Staunton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Staunton City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Staunton City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Staunton City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Staunton City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Suffolk City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Suffolk City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Suffolk City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Suffolk City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Suffolk City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Suffolk City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Suffolk City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Suffolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Suffolk City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Suffolk City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Suffolk City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Suffolk City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Suffolk City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Suffolk City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Suffolk City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Suffolk City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Suffolk City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Suffolk City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Suffolk City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Suffolk City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Suffolk City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Suffolk City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Suffolk City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Suffolk City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Suffolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Suffolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Suffolk City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Suffolk City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Suffolk City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Surry,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Surry,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Surry,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Surry,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Surry,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Surry,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Surry,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Surry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Surry,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Surry,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Surry,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Surry,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Surry,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Surry,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Surry,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Surry,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Surry,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Surry,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Surry,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Surry,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Surry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Surry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Surry,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Surry,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Surry,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Surry,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Sussex,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Sussex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Sussex,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Sussex,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Sussex,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Sussex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Sussex,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Sussex,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Sussex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Sussex,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Sussex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Sussex,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Sussex,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Sussex,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Sussex,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Sussex,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Sussex,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Sussex,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Sussex,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Sussex,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Sussex,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Sussex,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Sussex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Sussex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Sussex,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Sussex,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Sussex,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Sussex,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Tazewell,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Tazewell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Tazewell,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Tazewell,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Tazewell,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Tazewell,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Tazewell,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Tazewell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Tazewell,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Tazewell,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Tazewell,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Tazewell,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Tazewell,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Tazewell,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Tazewell,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Tazewell,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Tazewell,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Tazewell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Tazewell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Tazewell,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Tazewell,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Tazewell,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,Virginia Beach City,Align Senior Care,Local CCP,Premier Care (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H1277,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Virginia Beach City,Align Senior Care,Local CCP,Memory Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Virginia Beach City,Align Senior Care,Local CCP,Align Kidney Care (HMO-POS C-SNP),HMOPOS,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1277,004,0,,,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,Not enough data available,Not enough data available,Not enough data available
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,1,,,$27.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Virginia Beach City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Chronic Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,037,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Grocery (HMO),HMO,No,,Enhanced Alternative,H3447,039,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Virginia Beach City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Virginia Beach City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Virginia Beach City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Virginia Beach City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Virginia Beach City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Grocery (PPO),Local PPO,No,,Enhanced Alternative,H4909,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Virginia Beach City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Virginia Beach City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Virginia Beach City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Virginia Beach City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Virginia Beach City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Virginia Beach City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Virginia Beach City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Virginia Beach City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Virginia Beach City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,046,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Virginia Beach City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Virginia Beach City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Virginia Beach City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Virginia Beach City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Virginia Beach City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Virginia Beach City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Virginia Beach City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Warren,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Warren,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Warren,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Warren,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Warren,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Warren,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Warren,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Warren,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Warren,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Warren,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Warren,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Warren,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Warren,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Warren,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Warren,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Warren,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Warren,Humana,Local CCP,Humana Gold Plus H5619-047 (HMO),HMO,No,,Enhanced Alternative,H5619,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Warren,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Warren,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Warren,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Warren,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Warren,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Warren,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Warren,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Warren,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Warren,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Washington,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Washington,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Washington,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Washington,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Washington,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Washington,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Washington,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Washington,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Washington,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Washington,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Washington,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Washington,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Washington,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Washington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Washington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Washington,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Washington,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Washington,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Washington,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Washington,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Waynesboro City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Waynesboro City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Waynesboro City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0019 (PPO),Local PPO,No,,Enhanced Alternative,H2406,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Waynesboro City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Waynesboro City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Waynesboro City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0007 (PPO),Local PPO,No,,Enhanced Alternative,H2577,027,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Home Care (HMO I-SNP),HMO,Yes,Institutional,Enhanced Alternative,H3447,026,0,,,$0.00 ,$26.70 ,$0.00 ,$26.70 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Waynesboro City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Waynesboro City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,098,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Waynesboro City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Waynesboro City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Waynesboro City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Waynesboro City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Waynesboro City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Waynesboro City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Waynesboro City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Waynesboro City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,111,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,112,1,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Waynesboro City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Waynesboro City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Waynesboro City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Waynesboro City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Waynesboro City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Waynesboro City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Waynesboro City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Waynesboro City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Waynesboro City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Waynesboro City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Waynesboro City,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Waynesboro City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Westmoreland,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Westmoreland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Westmoreland,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Westmoreland,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Westmoreland,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Westmoreland,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Westmoreland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Westmoreland,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Westmoreland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Westmoreland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Westmoreland,Humana,Local CCP,HumanaChoice H5216-027 (PPO),Local PPO,No,,Enhanced Alternative,H5216,027,0,,,$63.30 ,$0.00 ,$4.70 ,$4.70 ,$4.70 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Westmoreland,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Westmoreland,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Westmoreland,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Westmoreland,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Westmoreland,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Westmoreland,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Westmoreland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Westmoreland,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Westmoreland,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Westmoreland,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Westmoreland,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Westmoreland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Westmoreland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Westmoreland,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Westmoreland,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Westmoreland,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Williamsburg City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Williamsburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Williamsburg City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Williamsburg City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Williamsburg City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Williamsburg City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Williamsburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Williamsburg City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Williamsburg City,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,Williamsburg City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Williamsburg City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Williamsburg City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Williamsburg City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Williamsburg City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Williamsburg City,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Williamsburg City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Williamsburg City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Williamsburg City,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Williamsburg City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Williamsburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Williamsburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Williamsburg City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Williamsburg City,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,Williamsburg City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Winchester City,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Winchester City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Winchester City,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0018 (PPO),Local PPO,No,,Enhanced Alternative,H2406,125,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,Winchester City,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Winchester City,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Winchester City,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Winchester City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0006 (PPO),Local PPO,No,,Enhanced Alternative,H2577,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Winchester City,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,096,0,,,$0.00 ,$17.00 ,$0.00 ,$17.00 ,$0.00 ,$300.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Winchester City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Winchester City,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Winchester City,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Winchester City,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Winchester City,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Winchester City,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Winchester City,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,089,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,120,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,027,0,,,$52.20 ,$35.80 ,$0.00 ,$35.80 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,344,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Winchester City,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Winchester City,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,Winchester City,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Winchester City,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Winchester City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Winchester City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Winchester City,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Winchester City,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Wise,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wise,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wise,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Wise,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Wise,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Wise,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wise,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wise,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Wise,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Wise,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Wise,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Wise,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Wise,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Wise,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wise,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wise,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wise,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wise,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Wise,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Wise,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Wise,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Virginia,Wise,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Wise,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H9725,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Virginia,Wise,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,Wythe,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wythe,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wythe,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,Wythe,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Wythe,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,Wythe,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Medicare Advantage TC-0001 (PPO),Local PPO,No,,Enhanced Alternative,H2577,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage 2 (HMO),HMO,No,,Enhanced Alternative,H3447,025,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wythe,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,Wythe,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,101,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,Wythe,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,162,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
Virginia,Wythe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,Wythe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,Wythe,Humana,Local CCP,HumanaChoice H5216-100 (PPO),Local PPO,No,,Enhanced Alternative,H5216,100,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,Wythe,Humana,Local CCP,HumanaChoice H5216-271 (PPO),Local PPO,No,,Enhanced Alternative,H5216,271,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.5,4.0,4.5
Virginia,Wythe,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,Wythe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0002 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,047,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Wythe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0003 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,048,0,,,$0.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,Wythe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC TC-0004 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,121,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,Yes,4.5,4.5,4.5
Virginia,Wythe,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,Wythe,Humana,Local CCP,Humana Gold Plus H5619-090 (HMO),HMO,No,,Enhanced Alternative,H5619,090,0,,,$47.10 ,$43.90 ,$0.00 ,$43.90 ,$5.40 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wythe,Humana,Local CCP,Humana Gold Plus H5619-091 (HMO),HMO,No,,Enhanced Alternative,H5619,091,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wythe,Humana,Local CCP,Humana Gold Plus H5619-095 (HMO),HMO,No,,Enhanced Alternative,H5619,095,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,Wythe,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wythe,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,Wythe,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Wythe,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,Wythe,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,Wythe,Humana,PFFS,Humana Gold Choice H8145-091 (PFFS),PFFS,No,,Enhanced Alternative,H8145,091,0,,,$0.00 ,$10.00 ,$0.00 ,$10.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Virginia,Wythe,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO),HMO,No,,Enhanced Alternative,H8293,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Virginia,Wythe,Clear Spring Health,Local CCP,Clear Spring Health Essential (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H8293,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,Not enough data available,2.5,Not enough data available
Virginia,Wythe,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Virginia,York,UnitedHealthcare,Local CCP,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,032,0,,Yes,$0.00 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Virginia,York,Aetna Better Health of Virginia,Local CCP,Aetna Better Health of Virginia (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,001,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,York,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Premier (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,002,0,,Yes,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,York,Aetna Better Health of Virginia,Local CCP,Aetna Medicare Assure Value (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1610,003,0,,Yes,$0.00 ,$33.60 ,$0.00 ,$33.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H1889,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Virginia,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0016 (PPO),Local PPO,No,,Enhanced Alternative,H2406,123,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.5,4.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Community Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,004,0,,Yes,$0.00 ,$17.10 ,$0.00 ,$17.10 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Medicare Prime (HMO),HMO,No,,Enhanced Alternative,H2563,005,2,,,$17.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$130.00 ,1,,,3.0,3.5,3.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Medicare Value (HMO),HMO,No,,Enhanced Alternative,H2563,017,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H2563,018,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Medicare Savings (HMO),HMO,No,,Enhanced Alternative,H2563,019,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,3.0,3.5,3.0
Virginia,York,Sentara Medicare,Local CCP,Sentara Community Complete Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2563,020,0,,Yes,$0.00 ,$14.90 ,$0.00 ,$14.90 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.0
Virginia,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H2577,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage 2 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,011,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H3447,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Extra Help (HMO),HMO,No,,Enhanced Alternative,H3447,028,0,,,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,1,,Yes,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,030,0,,Yes,$0.00 ,$29.70 ,$0.00 ,$29.70 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H3447,033,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage Support (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,044,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,York,Anthem HealthKeepers,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3447,045,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Virginia,York,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Virginia,York,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4909,014,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,3.0,3.0
Virginia,York,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H4909,018,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.5,3.0,3.0
Virginia,York,Humana,Local CCP,HumanaChoice H5216-144 (PPO),Local PPO,No,,Enhanced Alternative,H5216,144,0,,,$39.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$265.00 ,1,,,4.5,4.0,4.5
Virginia,York,Humana,Local CCP,HumanaChoice H5216-266 (PPO),Local PPO,No,,Enhanced Alternative,H5216,266,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,York,Humana,Local CCP,HumanaChoice H5216-308 (PPO),Local PPO,No,,Enhanced Alternative,H5216,308,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,York,Humana,Local CCP,HumanaChoice H5216-312 (PPO),Local PPO,No,,Enhanced Alternative,H5216,312,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
Virginia,York,Humana,Local CCP,Humana Together in Health (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H5216,362,0,,Yes,$0.00 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Virginia,York,Humana,Local CCP,HumanaChoice H5216-363 (PPO),Local PPO,No,,Enhanced Alternative,H5216,363,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
Virginia,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,087,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,088,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Virginia,York,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC VA-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,119,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.5,4.5,4.5
Virginia,York,Aetna Medicare,Local CCP,Aetna Medicare Essential Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,084,0,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,4.0,4.0
Virginia,York,Aetna Medicare,Local CCP,Aetna Medicare Premier Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,395,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Virginia,York,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,396,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,145,0,,,$0.00 ,$21.70 ,$0.00 ,$21.70 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus H5619-157 (HMO),HMO,No,,Enhanced Alternative,H5619,157,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,3.5,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus H6622-004 (HMO),HMO,No,,Enhanced Alternative,H6622,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus H6622-083 (HMO),HMO,No,,Enhanced Alternative,H6622,083,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.0,4.0,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H6622,084,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$145.00 ,1,,Yes,4.0,4.0,4.0
Virginia,York,Humana,Local CCP,Humana Gold Plus H6622-085 (HMO),HMO,No,,Enhanced Alternative,H6622,085,0,,,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,1,,,4.0,4.0,4.0
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-S002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,001,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,005,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,006,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,007,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,York,UnitedHealthcare,Local CCP,UHC Dual Complete VA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H7464,013,0,,Yes,$0.00 ,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Virginia,York,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,001,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,York,Molina Healthcare of Virginia,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7559,002,0,,Yes,$0.00 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$545.00 ,,,,2.5,3.0,3.0
Virginia,York,Molina Healthcare of Virginia,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H7559,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,2.5,3.0,3.0
Virginia,York,Humana,PFFS,Humana Gold Choice H8145-004 (PFFS),PFFS,No,,Enhanced Alternative,H8145,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.5,4.5,4.0
Virginia,York,Humana,Regional CCP,HumanaChoice R1390-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R1390,002,0,,,$46.10 ,$58.90 ,$0.00 ,$58.90 ,$15.00 ,$480.00 ,1,,,3.5,3.5,3.5
Washington,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,020,0,Yes,Yes,,$40.80 ,$0.00 ,$40.80 ,$0.20 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Washington,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,135,0,Yes,,,($19.50),$19.50 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Washington,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,233,0,Yes,,,$33.10 ,$45.80 ,$78.90 ,$45.80 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Washington,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,060,0,Yes,,,$44.10 ,$0.00 ,$44.10 ,$3.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,061,0,Yes,,,$33.30 ,$56.10 ,$89.40 ,$56.10 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,205,0,Yes,,,$0.60 ,$2.70 ,$3.30 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Asuris Northwest Health,PDP,Asuris Medicare Script Basic (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5609,001,0,,,,$111.50 ,$0.00 ,$111.50 ,$70.90 ,$540.00 ,1,,,Not Applicable,3.5,Not Applicable
Washington,(All Counties),Asuris Northwest Health,PDP,Asuris Medicare Script Enhanced (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5609,002,0,,,,$93.50 ,$33.50 ,$127.00 ,$86.40 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Washington,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,148,0,Yes,Yes,,$39.90 ,$0.00 ,$39.90 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,275,0,Yes,,,$51.60 ,$13.60 ,$65.20 ,$24.60 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,380,0,Yes,,,($2.30),$16.50 ,$14.20 ,$14.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Washington,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,029,0,Yes,,,$68.70 ,$29.70 ,$98.40 ,$57.80 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Washington,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,113,0,Yes,,,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Washington,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,176,0,Yes,,,$81.80 ,$23.00 ,$104.80 ,$64.20 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Washington,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,209,0,Yes,,,$28.90 ,$6.30 ,$35.20 ,$6.30 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Washington,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,374,0,Yes,Yes,,$39.70 ,$0.00 ,$39.70 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Washington,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,411,0,Yes,,,$42.80 ,$6.00 ,$48.80 ,$8.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Washington,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,029,0,,,,$105.50 ,$0.00 ,$105.50 ,$64.90 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Washington,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,099,0,,,,$72.20 ,$10.80 ,$83.00 ,$42.40 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Washington,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,132,0,,,,($1.70),$24.70 ,$23.00 ,$23.00 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Washington,Adams,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Adams,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Adams,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Adams,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Adams,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Adams,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Adams,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Adams,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Adams,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Adams,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Adams,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Adams,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Adams,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Adams,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Adams,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Asotin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Asotin,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H1304,004,0,,,$82.10 ,$33.90 ,$0.00 ,$33.90 ,$0.00 ,$0.00 ,,,,4.0,4.0,3.5
Washington,Asotin,Regence BlueShield of Idaho,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H1304,012,2,,,$28.70 ,$54.30 ,$0.00 ,$54.30 ,$11.10 ,$200.00 ,1,,,4.0,4.0,3.5
Washington,Asotin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Asotin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Asotin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Asotin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Asotin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Benton,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Benton,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Benton,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Benton,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Benton,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Benton,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Benton,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Benton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Benton,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,149,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Benton,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,165,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Washington,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Benton,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Benton,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Benton,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,379,0,,,$11.90 ,$7.10 ,$0.00 ,$7.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Benton,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,423,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Washington,Benton,Humana,Local CCP,Humana Gold Plus H5619-133 (HMO),HMO,No,,Enhanced Alternative,H5619,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Washington,Benton,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Benton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Benton,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Benton,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Benton,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Benton,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Benton,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Benton,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Benton,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Benton,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Benton,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Benton,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Cottonwood + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,062,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Benton,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Pine + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Chelan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx (HMO),HMO,No,,Enhanced Alternative,H3471,001,0,,,$69.30 ,$4.70 ,$0.00 ,$4.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Chelan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx Plus (HMO),HMO,No,,Enhanced Alternative,H3471,002,0,,,$109.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Chelan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3471,010,0,,,$32.40 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Chelan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H3471,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Chelan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion POS Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3471,018,0,,,$49.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Washington,Chelan,Asuris Northwest Health,Local CCP,Asuris TruAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5010,008,2,,,$0.00 ,$16.00 ,$0.00 ,$16.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.0
Washington,Chelan,Asuris Northwest Health,Local CCP,Asuris TruAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5010,009,2,,,$42.60 ,$41.40 ,$0.00 ,$41.40 ,$0.80 ,$200.00 ,1,,,4.5,3.5,4.0
Washington,Chelan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Chelan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Chelan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Clallam,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Clallam,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Clallam,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Clallam,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Clallam,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,3,,,$22.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Clallam,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Clallam,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Clallam,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Clallam,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Clallam,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Clallam,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Clark,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Clark,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,Humana,Local CCP,Humana Gold Plus H2486-007 (HMO),HMO,No,,Enhanced Alternative,H2486,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Clark,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Clark,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H3817,008,4,,,$44.10 ,$27.90 ,$0.00 ,$27.90 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Clark,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H3817,009,2,,,$109.10 ,$41.90 ,$0.00 ,$41.90 ,$1.30 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Clark,Regence BlueCross BlueShield of Oregon,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H3817,011,3,,,$14.50 ,$7.50 ,$0.00 ,$7.50 ,$0.00 ,$200.00 ,1,,,3.5,4.0,3.5
Washington,Clark,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Rx 40 (HMO),HMO,No,,Enhanced Alternative,H3864,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Washington,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Clark,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Clark,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Clark,Wellcare by Health Net,Local CCP,Wellcare Giveback Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,2.5,3.0,2.5
Washington,Clark,Wellcare by Health Net,Local CCP,Wellcare Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5439,019,0,,,$8.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$350.00 ,1,,Yes,2.5,3.0,2.5
Washington,Clark,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Clark,Humana,Local CCP,Humana Gold Plus H5619-056 (HMO),HMO,No,,Enhanced Alternative,H5619,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Washington,Clark,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Clark,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Clark,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,1,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Clark,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Washington,Clark,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Clark,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Clark,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Clark,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Clark,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Clark,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Clark,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Clark,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Clark,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Clark,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Clark,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Clark,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H6237,007,4,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.5,3.5,3.5
Washington,Clark,Regence BlueCross BlueShield of Oregon,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H6237,008,1,,,$29.90 ,$11.10 ,$0.00 ,$11.10 ,$0.00 ,$100.00 ,1,,,3.5,3.5,3.5
Washington,Clark,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Washington,Clark,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Clark,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Clark,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Clark,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Clark,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Timber + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,054,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Bridge + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,059,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Extra + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,064,0,,,$107.10 ,$47.90 ,$0.00 ,$47.90 ,$7.30 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Clark,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Choice + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,065,0,,,$25.60 ,$45.40 ,$0.00 ,$45.40 ,$4.80 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Columbia,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Columbia,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Columbia,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Columbia,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Columbia,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Columbia,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Columbia,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Columbia,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Columbia,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Columbia,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Columbia,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Cowlitz,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Cowlitz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Cowlitz,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Cowlitz,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,013,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Cowlitz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Cowlitz,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Cowlitz,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Cowlitz,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Cowlitz,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Cowlitz,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Cowlitz,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Cowlitz,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Cowlitz,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Cowlitz,Humana,Local CCP,Humana Gold Plus H5619-056 (HMO),HMO,No,,Enhanced Alternative,H5619,056,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,3.5,4.0
Washington,Cowlitz,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Cowlitz,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Cowlitz,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,1,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Cowlitz,Humana,Local CCP,Humana Gold Plus - Diabetes (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H5619,154,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Washington,Cowlitz,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Cowlitz,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Cowlitz,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Cowlitz,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Cowlitz,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Cowlitz,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Cowlitz,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Washington,Cowlitz,Cigna Healthcare,Local CCP,Cigna True Choice Medicare (PPO),Local PPO,No,,Enhanced Alternative,H7849,055,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Cowlitz,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Cowlitz,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Cowlitz,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Douglas,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx (HMO),HMO,No,,Enhanced Alternative,H3471,001,0,,,$69.30 ,$4.70 ,$0.00 ,$4.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Douglas,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx Plus (HMO),HMO,No,,Enhanced Alternative,H3471,002,0,,,$109.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Douglas,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3471,010,0,,,$32.40 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Douglas,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H3471,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Douglas,Health Alliance Northwest,Local CCP,Health Alliance NW Companion POS Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3471,018,0,,,$49.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Washington,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Douglas,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Douglas,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Douglas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Ferry,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Ferry,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Ferry,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Ferry,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Ferry,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Ferry,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Ferry,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Ferry,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Ferry,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Ferry,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Ferry,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Franklin,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Franklin,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Franklin,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Franklin,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Franklin,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Franklin,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Franklin,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Franklin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,149,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,165,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Washington,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Franklin,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Franklin,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Franklin,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,379,0,,,$11.90 ,$7.10 ,$0.00 ,$7.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Franklin,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,423,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Washington,Franklin,Humana,Local CCP,Humana Gold Plus H5619-133 (HMO),HMO,No,,Enhanced Alternative,H5619,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Washington,Franklin,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Franklin,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Franklin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Franklin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Franklin,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Franklin,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Franklin,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Franklin,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Franklin,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Franklin,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Franklin,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Franklin,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Cottonwood + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,062,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Franklin,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Pine + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Garfield,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Garfield,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Garfield,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Garfield,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Garfield,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Garfield,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Garfield,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Garfield,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Grant,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Grant,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Grant,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Grant,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Grant,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Grant,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx (HMO),HMO,No,,Enhanced Alternative,H3471,001,0,,,$69.30 ,$4.70 ,$0.00 ,$4.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Grant,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx Plus (HMO),HMO,No,,Enhanced Alternative,H3471,002,0,,,$109.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Grant,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3471,010,0,,,$32.40 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Grant,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H3471,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Grant,Health Alliance Northwest,Local CCP,Health Alliance NW Companion POS Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3471,018,0,,,$49.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Washington,Grant,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Grant,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Grant,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Grant,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Grant,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Grant,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Grant,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Grant,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Grant,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Grays Harbor,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Grays Harbor,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Grays Harbor,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,3,,,$22.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Grays Harbor,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Grays Harbor,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Grays Harbor,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Grays Harbor,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Grays Harbor,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Grays Harbor,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Grays Harbor,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Grays Harbor,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Island,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Island,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Island,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Island,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Island,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Island,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Island,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Island,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Harbor (HMO),HMO,No,,Enhanced Alternative,H5050,017,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.40 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Island,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Island,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Island,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Island,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Island,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Island,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Island,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Island,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Island,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Jefferson,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Jefferson,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Jefferson,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,3,,,$22.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Jefferson,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Jefferson,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Jefferson,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Jefferson,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Jefferson,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,King,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,King,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,King,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,King,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,King,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,King,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,King,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,King,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,King,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,King,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,King,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,King,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,King,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,King,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,King,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,King,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,King,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,King,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,King,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,1,,,$21.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,King,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,King,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,King,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,King,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,King,Humana,Local CCP,Humana Gold Plus H5619-057 (HMO),HMO,No,,Enhanced Alternative,H5619,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,King,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,King,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,King,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,King,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,155,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,King,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,King,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,King,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,King,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,King,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,King,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,King,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,King,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,King,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,King,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,King,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,King,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,King,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Kitsap,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Kitsap,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Kitsap,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Kitsap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Kitsap,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Kitsap,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Kitsap,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,Kitsap,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Kitsap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Kitsap,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Kitsap,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Kitsap,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Kitsap,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Kitsap,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Kitsap,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,Kitsap,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Kitsap,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Kitsap,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Kitsap,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Kitsap,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Kitsap,Humana,Local CCP,Humana Gold Plus H5619-057 (HMO),HMO,No,,Enhanced Alternative,H5619,057,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Kitsap,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Kitsap,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Kitsap,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Kitsap,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Kitsap,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Kitsap,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Kitsap,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Kitsap,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Kitsap,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Kitsap,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Kittitas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Kittitas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Kittitas,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Kittitas,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Kittitas,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Kittitas,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Kittitas,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Kittitas,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Kittitas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Kittitas,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Kittitas,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Klickitat,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Klickitat,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Klickitat,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Lewis,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Lewis,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Lewis,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Lewis,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Lewis,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Lewis,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Lewis,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Lewis,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Lewis,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Lewis,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Lewis,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Lewis,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Lewis,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Lewis,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Lewis,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Lewis,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Lewis,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Lewis,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lewis,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lewis,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Lewis,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Lewis,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Lewis,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Lewis,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Lewis,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Lewis,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Lewis,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Lewis,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Lincoln,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Lincoln,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Lincoln,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Lincoln,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lincoln,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Lincoln,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Lincoln,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Mason,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Mason,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Mason,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Mason,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Mason,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Mason,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Mason,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Mason,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Mason,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,010,0,,,$47.40 ,$21.60 ,$0.00 ,$21.60 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Mason,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Mason,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,3,,,$22.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Mason,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Mason,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Mason,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Mason,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Mason,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,393,0,,,$84.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Washington,Mason,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Mason,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Mason,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Mason,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Mason,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Mason,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Mason,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Mason,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Mason,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Mason,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Okanogan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx (HMO),HMO,No,,Enhanced Alternative,H3471,001,0,,,$69.30 ,$4.70 ,$0.00 ,$4.70 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Okanogan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Rx Plus (HMO),HMO,No,,Enhanced Alternative,H3471,002,0,,,$109.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Okanogan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx (HMO),HMO,No,,Enhanced Alternative,H3471,010,0,,,$32.40 ,$7.60 ,$0.00 ,$7.60 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Okanogan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion Basic Rx 2 (HMO),HMO,No,,Enhanced Alternative,H3471,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Okanogan,Health Alliance Northwest,Local CCP,Health Alliance NW Companion POS Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3471,018,0,,,$49.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$175.00 ,1,,Yes,3.0,3.5,3.0
Washington,Okanogan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Okanogan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Okanogan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Okanogan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Okanogan,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Okanogan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Pacific,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Pacific,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pacific,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pacific,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pacific,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pacific,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Pacific,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pacific,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pacific,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Pend Oreille,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Pend Oreille,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pend Oreille,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pend Oreille,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Pend Oreille,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Pend Oreille,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Pend Oreille,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pend Oreille,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pend Oreille,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Pend Oreille,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pend Oreille,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pend Oreille,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Pierce,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Pierce,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Pierce,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Pierce,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Pierce,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Pierce,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Pierce,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Pierce,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pierce,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Pierce,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,Pierce,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Prime Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Pierce,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Pierce,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Washington,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Pierce,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Pierce,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Pierce,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Pierce,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Pierce,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Pierce,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Pierce,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Pierce,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Pierce,Humana,Local CCP,Humana Gold Plus H5619-100 (HMO),HMO,No,,Enhanced Alternative,H5619,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Pierce,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Pierce,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Pierce,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pierce,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Pierce,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Pierce,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Pierce,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Pierce,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Pierce,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Pierce,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,San Juan,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,San Juan,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,San Juan,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,San Juan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,San Juan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,San Juan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,San Juan,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,San Juan,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,San Juan,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,San Juan,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Skagit,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Skagit,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Skagit,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Skagit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Skagit,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,Skagit,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,Skagit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Skagit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Skagit,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Skagit,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Skagit,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Skagit,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,Skagit,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Skagit,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Harbor (HMO),HMO,No,,Enhanced Alternative,H5050,017,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.40 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Skagit,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Anchor (HMO),HMO,No,,Enhanced Alternative,H5050,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,4.0,3.5
Washington,Skagit,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Skagit,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Skagit,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Skagit,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Skagit,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Skagit,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Skagit,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Skagit,Humana,Local CCP,Humana Gold Plus H5619-114 (HMO),HMO,No,,Enhanced Alternative,H5619,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Washington,Skagit,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Skagit,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,3,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Skagit,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Skagit,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Skagit,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Skagit,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Skagit,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Skagit,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Skagit,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Skagit,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Skamania,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Skamania,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Skamania,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Skamania,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Skamania,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Skamania,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Skamania,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Skamania,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Skamania,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Skamania,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Snohomish,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Snohomish,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Snohomish,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Snohomish,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Snohomish,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Snohomish,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,Snohomish,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,Snohomish,Humana,Local CCP,Humana Gold Plus H2486-006 (HMO),HMO,No,,Enhanced Alternative,H2486,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Snohomish,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Snohomish,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Snohomish,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Snohomish,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Snohomish,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Snohomish,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,Snohomish,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,1,,,$21.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Snohomish,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Snohomish,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Snohomish,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Snohomish,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Snohomish,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Snohomish,Humana,Local CCP,Humana Gold Plus H5619-063 (HMO),HMO,No,,Enhanced Alternative,H5619,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,Yes,4.0,3.5,4.0
Washington,Snohomish,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Snohomish,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,2,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Snohomish,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,155,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Snohomish,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Snohomish,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Snohomish,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Snohomish,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Snohomish,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Snohomish,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Snohomish,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Snohomish,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Snohomish,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Cottonwood + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,062,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Snohomish,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Pine + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Spokane,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Spokane,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Spokane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Spokane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1278,028,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Spokane,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Spokane,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Spokane,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Spokane,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Spokane,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Spokane,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Spokane,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Spokane,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Spokane,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Spokane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0008 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Spokane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0009 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,034,0,,,$0.00 ,$42.00 ,$0.00 ,$42.00 ,$1.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Spokane,PacificSource Medicare,Local CCP,PacificSource Medicare MyCare Choice Rx 34 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3864,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Spokane,PacificSource Medicare,Local CCP,PacificSource Medicare Explorer Rx 11 (PPO),Local PPO,No,,Enhanced Alternative,H4754,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.5,4.0,3.5
Washington,Spokane,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Spokane,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Spokane,Asuris Northwest Health,Local CCP,Asuris TruAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5010,008,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,,4.5,3.5,4.0
Washington,Spokane,Asuris Northwest Health,Local CCP,Asuris TruAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5010,009,1,,,$38.60 ,$41.40 ,$0.00 ,$41.40 ,$0.80 ,$200.00 ,1,,,4.5,3.5,4.0
Washington,Spokane,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Columbia (HMO),HMO,No,,Enhanced Alternative,H5050,019,0,,,$0.50 ,$63.50 ,$0.00 ,$63.50 ,$22.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Spokane,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Centennial (HMO),HMO,No,,Enhanced Alternative,H5050,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Spokane,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Spokane,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Spokane,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Spokane,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Spokane,Humana,Local CCP,Humana Gold Plus H5619-060 (HMO),HMO,No,,Enhanced Alternative,H5619,060,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$350.00 ,1,,Yes,4.0,3.5,4.0
Washington,Spokane,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Spokane,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Spokane,Humana,Local CCP,Humana Gold Plus H5619-143 (HMO),HMO,No,,Enhanced Alternative,H5619,143,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Spokane,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Spokane,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Spokane,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Spokane,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Spokane,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Spokane,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Spokane,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Spokane,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Total Health (HMO),HMO,No,,Enhanced Alternative,H7245,005,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Spokane,Cigna Healthcare,Local CCP,Cigna Preferred Medicare (HMO),HMO,No,,Enhanced Alternative,H7389,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Not enough data available,2.5,Not enough data available
Washington,Spokane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Cottonwood + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,062,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Spokane,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Pine + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Stevens,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Stevens,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Stevens,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Stevens,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Stevens,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Stevens,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Stevens,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Stevens,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Stevens,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Stevens,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Stevens,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Stevens,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Stevens,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Stevens,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Stevens,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Stevens,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Stevens,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Total Health (HMO),HMO,No,,Enhanced Alternative,H7245,005,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Thurston,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Thurston,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1278,029,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0004 (PPO),Local PPO,No,,Enhanced Alternative,H1278,032,0,,,$0.00 ,$39.00 ,$0.00 ,$39.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Thurston,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Thurston,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Thurston,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Thurston,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Thurston,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Thurston,Wellpoint,Local CCP,Wellpoint Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1894,002,0,,Yes,$0.00 ,$29.20 ,$0.00 ,$29.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Thurston,Wellpoint,Local CCP,Wellpoint Kidney Care (HMO C-SNP),HMO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H1894,008,0,,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.0,3.0
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Platinum Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,004,0,,,$16.50 ,$26.50 ,$0.00 ,$26.50 ,$0.00 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Elite Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3748,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0007 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,032,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Thurston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,126,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Thurston,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Thurston,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Thurston,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Thurston,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,Thurston,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,1,,,$21.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Thurston,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Optimal (HMO),HMO,No,,Enhanced Alternative,H5050,004,0,,,$226.10 ,$82.70 ,$18.20 ,$100.90 ,$60.30 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H5050,009,0,,,$42.50 ,$51.50 ,$0.00 ,$51.50 ,$10.90 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Vital (HMO),HMO,No,,Enhanced Alternative,H5050,013,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Key (HMO),HMO,No,,Enhanced Alternative,H5050,022,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Thurston,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,127,0,,,$10.90 ,$28.10 ,$0.00 ,$28.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Select Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,128,0,,,$44.60 ,$44.40 ,$0.00 ,$44.40 ,$3.80 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare Preferred Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,380,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Thurston,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,431,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Washington,Thurston,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Thurston,Humana,Local CCP,Humana Gold Plus H5619-100 (HMO),HMO,No,,Enhanced Alternative,H5619,100,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Thurston,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Thurston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Thurston,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Thurston,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Thurston,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 3 (HMO),HMO,No,,Enhanced Alternative,H5826,008,0,,,$27.90 ,$51.10 ,$0.00 ,$51.10 ,$10.50 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Thurston,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Thurston,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Thurston,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Thurston,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Thurston,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Wahkiakum,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Wahkiakum,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Wahkiakum,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Wahkiakum,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Wahkiakum,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Wahkiakum,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Wahkiakum,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Washington,Wahkiakum,Humana,Local CCP,Humana Gold Plus H5619-061 (HMO),HMO,No,,Enhanced Alternative,H5619,061,0,,,$72.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Wahkiakum,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Wahkiakum,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Wahkiakum,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Wahkiakum,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Wahkiakum,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Wahkiakum,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Wahkiakum,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Wahkiakum,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Enhanced (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,001,0,,,$74.40 ,$56.60 ,$0.00 ,$56.60 ,$16.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Wahkiakum,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Standard (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,006,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.40 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Wahkiakum,Kaiser Permanente,Local CCP,Kaiser Permanente Senior Advantage Value (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9003,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,4.0,3.5
Washington,Walla Walla,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Walla Walla,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Walla Walla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Walla Walla,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Walla Walla,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,149,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Walla Walla,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,165,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Washington,Walla Walla,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Walla Walla,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Walla Walla,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Walla Walla,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Walla Walla,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Walla Walla,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Walla Walla,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,379,0,,,$11.90 ,$7.10 ,$0.00 ,$7.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Walla Walla,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,423,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Washington,Walla Walla,Humana,Local CCP,Humana Gold Plus H5619-133 (HMO),HMO,No,,Enhanced Alternative,H5619,133,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,3.5,4.0
Washington,Walla Walla,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Walla Walla,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,4,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Walla Walla,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Walla Walla,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Walla Walla,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Walla Walla,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Walla Walla,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Walla Walla,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Walla Walla,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Total Health (HMO),HMO,No,,Enhanced Alternative,H7245,005,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Walla Walla,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Cottonwood + Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9047,062,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Walla Walla,Providence Medicare Advantage Plans,Local CCP,Providence Medicare Pine + Rx (HMO),HMO,No,,Enhanced Alternative,H9047,063,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Whatcom,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Whatcom,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Whatcom,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Whatcom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Whatcom,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO Plus (HMO),HMO,No,,Enhanced Alternative,H1997,002,0,,,$16.20 ,$29.80 ,$0.00 ,$29.80 ,$0.00 ,$100.00 ,1,,,3.5,3.0,3.0
Washington,Whatcom,Regence BlueShield,Local CCP,Regence BlueAdvantage HMO (HMO),HMO,No,,Enhanced Alternative,H1997,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,3.5,3.0,3.0
Washington,Whatcom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Whatcom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0006 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Whatcom,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Whatcom,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Whatcom,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Whatcom,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Core (PPO),Local PPO,No,,Enhanced Alternative,H5009,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$375.00 ,1,,,3.0,3.5,3.0
Washington,Whatcom,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Whatcom,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Harbor (HMO),HMO,No,,Enhanced Alternative,H5050,017,0,,,$0.00 ,$59.00 ,$0.00 ,$59.00 ,$18.40 ,$150.00 ,1,,Yes,3.0,4.0,3.5
Washington,Whatcom,Kaiser Permanente,Local CCP,Kaiser Permanente Medicare Advantage Anchor (HMO),HMO,No,,Enhanced Alternative,H5050,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,3.0,4.0,3.5
Washington,Whatcom,Humana,Local CCP,HumanaChoice H5216-047 (PPO),Local PPO,No,,Enhanced Alternative,H5216,047,0,,,$77.50 ,$0.80 ,$21.70 ,$22.50 ,$21.70 ,$320.00 ,1,,Yes,4.5,4.0,4.5
Washington,Whatcom,Humana,Local CCP,HumanaChoice H5216-247 (PPO),Local PPO,No,,Enhanced Alternative,H5216,247,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,Yes,4.5,4.0,4.5
Washington,Whatcom,Humana,Local CCP,Humana Gold Plus H5619-059 (HMO),HMO,No,,Enhanced Alternative,H5619,059,0,,,$60.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
Washington,Whatcom,Humana,Local CCP,Humana Gold Plus H5619-114 (HMO),HMO,No,,Enhanced Alternative,H5619,114,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,4.0,3.5,4.0
Washington,Whatcom,Humana,Local CCP,Humana Value Plus H5619-134 (HMO),HMO,No,,Defined Standard Benefit,H5619,134,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Whatcom,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5619,136,3,,Yes,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Washington,Whatcom,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Whatcom,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Whatcom,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Whatcom,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H7245,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$160.00 ,1,,,3.0,4.0,3.5
Washington,Whatcom,Premera Blue Cross Medicare Advantage,Local CCP,Premera Blue Cross Medicare Advantage Classic (HMO),HMO,No,,Enhanced Alternative,H7245,002,0,,,$20.90 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$0.00 ,,,,3.0,4.0,3.5
Washington,Whitman,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Whitman,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Whitman,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Whitman,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Whitman,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Whitman,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Yakima,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,044,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Washington,Yakima,UnitedHealthcare,Local CCP,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Yes,Institutional,Enhanced Alternative,H0710,030,0,,,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$0.00 ,,,Yes,5.0,5.0,5.0
Washington,Yakima,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Yes,Institutional,Defined Standard Benefit,H0710,031,0,,Yes,$0.00 ,$29.90 ,$0.00 ,$29.90 ,$0.00 ,$545.00 ,,,,5.0,5.0,5.0
Washington,Yakima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0003 (PPO),Local PPO,No,,Enhanced Alternative,H1278,030,0,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Washington,Yakima,Wellcare,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,002,0,,Yes,$0.00 ,$20.70 ,$0.00 ,$20.70 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Yakima,Wellcare,Local CCP,Wellcare Dual Liberty (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1353,004,0,,Yes,$0.00 ,$24.90 ,$0.00 ,$24.90 ,$0.00 ,$545.00 ,,,,2.5,2.5,2.5
Washington,Yakima,Wellcare,Local CCP,Wellcare No Premium (HMO),HMO,No,,Enhanced Alternative,H1353,005,0,,,$0.00 ,($10.00),$10.00 ,$0.00 ,$0.00 ,$150.00 ,1,,,2.5,2.5,2.5
Washington,Yakima,Wellcare,Local CCP,Wellcare Giveback (HMO),HMO,No,,Enhanced Alternative,H1353,006,0,,,$0.00 ,($13.80),$13.80 ,$0.00 ,$0.00 ,$440.00 ,1,,,2.5,2.5,2.5
Washington,Yakima,Wellcare,Local CCP,Wellcare Assist (HMO),HMO,No,,Enhanced Alternative,H1353,007,0,,,$0.00 ,$14.20 ,$0.00 ,$14.20 ,$0.00 ,$545.00 ,1,,,2.5,2.5,2.5
Washington,Yakima,Health Alliance Northwest,Local CCP,Health Alliance NW SignalAdvantage HMO Rx (HMO),HMO,No,,Enhanced Alternative,H3471,004,0,,,$17.90 ,$14.10 ,$0.00 ,$14.10 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Yakima,Health Alliance Northwest,Local CCP,Health Alliance NW SignalAdvantage HMO Rx Plus (HMO),HMO,No,,Enhanced Alternative,H3471,005,0,,,$49.20 ,$55.80 ,$0.00 ,$55.80 ,$15.20 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Yakima,Health Alliance Northwest,Local CCP,Health Alliance NW SignalAdvantage POS Basic Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3471,019,0,,,$0.00 ,($2.10),$2.10 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.0,3.5,3.0
Washington,Yakima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0005 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,015,0,,,$13.40 ,$28.60 ,$0.00 ,$28.60 ,$0.00 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Yakima,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WA-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3805,037,0,,,$33.00 ,$51.00 ,$0.00 ,$51.00 ,$10.40 ,$0.00 ,,,Yes,3.5,4.0,4.0
Washington,Yakima,Aetna Medicare,Local CCP,Aetna Medicare Extra Value Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,149,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Washington,Yakima,Aetna Medicare,Local CCP,Aetna Medicare Value Plus Plan (HMO-POS),HMOPOS,No,,Enhanced Alternative,H3931,165,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$400.00 ,1,,Yes,4.0,4.0,4.0
Washington,Yakima,UnitedHealthcare,Local CCP,UHC Dual Complete WA-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,002,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Yakima,UnitedHealthcare,Local CCP,UHC Dual Complete WA-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5008,015,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Washington,Yakima,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Enhanced (PPO),Local PPO,No,,Enhanced Alternative,H5009,002,0,,,$111.40 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$200.00 ,1,,,3.0,3.5,3.0
Washington,Yakima,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Classic (PPO),Local PPO,No,,Enhanced Alternative,H5009,008,0,,,$49.80 ,$32.20 ,$0.00 ,$32.20 ,$0.00 ,$250.00 ,1,,,3.0,3.5,3.0
Washington,Yakima,Regence BlueShield,Local CCP,Regence MedAdvantage + Rx Primary (PPO),Local PPO,No,,Enhanced Alternative,H5009,011,2,,,$28.60 ,$13.40 ,$0.00 ,$13.40 ,$0.00 ,$300.00 ,1,,,3.0,3.5,3.0
Washington,Yakima,Aetna Medicare,Local CCP,Aetna Medicare Choice Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,379,0,,,$11.90 ,$7.10 ,$0.00 ,$7.10 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Washington,Yakima,Aetna Medicare,Local CCP,Aetna Medicare SmartFit Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,423,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Washington,Yakima,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,006,0,,Yes,$0.00 ,$33.10 ,$0.00 ,$33.10 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Yakima,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5823,010,0,,Yes,$0.00 ,$33.00 ,$0.00 ,$33.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Washington,Yakima,"Molina Healthcare of Washington, Inc.",Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H5823,012,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,3.0,3.0,3.0
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 4 (HMO),HMO,No,,Enhanced Alternative,H5826,009,0,,,$65.50 ,$39.50 ,$0.00 ,$39.50 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 2 (HMO),HMO,No,,Enhanced Alternative,H5826,010,0,,,$0.00 ,$38.40 ,$0.00 ,$38.40 ,$0.00 ,$0.00 ,,,,3.5,4.0,3.5
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Complete (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,014,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA MA Plan 1 (HMO),HMO,No,,Enhanced Alternative,H5826,016,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$230.00 ,1,,,3.5,4.0,3.5
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Local CCP,Community Health Plan of WA Dual Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5826,017,0,,Yes,$0.00 ,$40.60 ,$0.00 ,$40.60 ,$0.00 ,$545.00 ,,,,3.5,4.0,3.5
Washington,Yakima,Wellcare,Local CCP,Wellcare Mutual of Omaha No Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,002,0,,,$0.00 ,($2.00),$2.00 ,$0.00 ,$0.00 ,$100.00 ,1,,,Not enough data available,2.5,Not enough data available
Washington,Yakima,Wellcare,Local CCP,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5965,004,0,,Yes,$0.00 ,$36.10 ,$0.00 ,$36.10 ,$0.00 ,$545.00 ,,,,Not enough data available,2.5,Not enough data available
Washington,Yakima,Wellcare,Local CCP,Wellcare Mutual of Omaha Low Premium Open (PPO),Local PPO,No,,Enhanced Alternative,H5965,005,0,,,$29.00 ,($4.20),$4.20 ,$0.00 ,$0.00 ,$0.00 ,,,,Not enough data available,2.5,Not enough data available
West Virginia,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,080,0,Yes,Yes,,$41.60 ,$0.00 ,$41.60 ,$1.40 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
West Virginia,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,141,0,Yes,,,($18.40),$18.90 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
West Virginia,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,209,0,Yes,,,$32.40 ,$46.50 ,$78.90 ,$46.50 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
West Virginia,(All Counties),Highmark Blue Shield,PDP,Blue Rx PDP Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5593,002,0,,,,$108.80 ,$0.00 ,$108.80 ,$68.60 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
West Virginia,(All Counties),Highmark Blue Shield,PDP,Blue Rx PDP Complete (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5593,003,0,,,,$135.30 ,$59.80 ,$195.10 ,$154.90 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
West Virginia,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,012,0,Yes,Yes,,$40.70 ,$0.00 ,$40.70 ,$0.50 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,013,0,Yes,,,$39.20 ,$60.40 ,$99.60 ,$60.40 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,181,0,Yes,,,$7.20 ,$2.70 ,$9.90 ,$2.70 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,215,0,Yes,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.70 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,251,0,Yes,,,$78.30 ,$12.70 ,$91.00 ,$50.80 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,356,0,Yes,,,$3.20 ,$17.20 ,$20.40 ,$17.20 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,005,0,Yes,,,$74.10 ,$33.00 ,$107.10 ,$66.90 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
West Virginia,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,104,0,Yes,,,$45.30 ,$0.00 ,$45.30 ,$5.10 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
West Virginia,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,152,0,Yes,,,$79.70 ,$27.00 ,$106.70 ,$66.50 ,$100.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
West Virginia,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,185,0,Yes,,,$36.70 ,$4.90 ,$41.60 ,$4.90 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
West Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,351,0,Yes,Yes,,$38.60 ,$0.00 ,$38.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,388,0,Yes,,,$62.50 ,$6.00 ,$68.50 ,$28.30 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
West Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,005,0,,,,$41.20 ,$0.00 ,$41.20 ,$1.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
West Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,075,0,,,,$72.60 ,$15.60 ,$88.20 ,$48.00 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
West Virginia,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,108,0,,,,($3.10),$28.00 ,$24.90 ,$24.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
West Virginia,Barbour,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Barbour,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Barbour,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Barbour,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Barbour,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Barbour,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Barbour,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Barbour,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Barbour,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Barbour,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Barbour,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Barbour,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Barbour,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Barbour,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Barbour,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Barbour,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Barbour,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Berkeley,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Berkeley,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Berkeley,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Berkeley,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Berkeley,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Berkeley,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Berkeley,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Berkeley,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Berkeley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Berkeley,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Berkeley,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Berkeley,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Berkeley,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Berkeley,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Berkeley,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Berkeley,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Boone,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Boone,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Boone,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Boone,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Boone,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Boone,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Boone,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Boone,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Boone,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Boone,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Boone,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Boone,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Boone,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Boone,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Boone,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Boone,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Boone,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Boone,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Boone,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Boone,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Braxton,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Braxton,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Braxton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Braxton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Braxton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Braxton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Braxton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Braxton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Braxton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Braxton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Braxton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Braxton,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Braxton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Braxton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Braxton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Braxton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Braxton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Braxton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Braxton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Braxton,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Braxton,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Braxton,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Braxton,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Brooke,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Brooke,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Brooke,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Brooke,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Brooke,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Brooke,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Brooke,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Brooke,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Brooke,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Brooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Brooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Brooke,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Brooke,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Brooke,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Brooke,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Brooke,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Cabell,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Cabell,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Cabell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Cabell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Cabell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Cabell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Cabell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Cabell,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Cabell,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Cabell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Cabell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Cabell,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Cabell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Cabell,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Cabell,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Cabell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Cabell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Cabell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Cabell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Cabell,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Cabell,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Cabell,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Cabell,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,2,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Cabell,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Cabell,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Calhoun,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Calhoun,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Calhoun,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Calhoun,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Calhoun,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Calhoun,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Calhoun,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Calhoun,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Calhoun,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Calhoun,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Calhoun,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Calhoun,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Calhoun,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Calhoun,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Calhoun,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Calhoun,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Calhoun,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Calhoun,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Clay,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Clay,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Clay,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Clay,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Clay,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Clay,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Clay,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Clay,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Clay,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Clay,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Clay,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Clay,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Clay,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Doddridge,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Doddridge,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Doddridge,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Doddridge,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Doddridge,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Doddridge,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Doddridge,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Doddridge,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Doddridge,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Doddridge,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Doddridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Doddridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Doddridge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Doddridge,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Doddridge,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Doddridge,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Doddridge,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Doddridge,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Fayette,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Fayette,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Fayette,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Fayette,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Fayette,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Fayette,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Fayette,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Fayette,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Fayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Fayette,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Fayette,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Fayette,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Fayette,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Gilmer,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Gilmer,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Gilmer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Gilmer,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Gilmer,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Gilmer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Gilmer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Gilmer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Gilmer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Gilmer,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Gilmer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Gilmer,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Gilmer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Gilmer,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Gilmer,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Gilmer,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Gilmer,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Gilmer,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Grant,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Grant,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Grant,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Grant,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Grant,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Grant,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Grant,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Grant,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Grant,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Grant,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Grant,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Grant,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Grant,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Grant,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Grant,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Grant,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Greenbrier,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Greenbrier,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Greenbrier,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Greenbrier,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Greenbrier,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Greenbrier,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Greenbrier,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Greenbrier,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Greenbrier,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Greenbrier,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Greenbrier,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Greenbrier,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Greenbrier,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Greenbrier,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Greenbrier,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Greenbrier,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Greenbrier,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Greenbrier,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Hampshire,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hampshire,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Hampshire,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hampshire,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Hampshire,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Hampshire,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Hampshire,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Hampshire,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hampshire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Hampshire,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Hampshire,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Hampshire,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hancock,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Hancock,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hancock,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Hancock,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Hancock,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hancock,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hancock,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Hancock,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hancock,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hancock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Hancock,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Hancock,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Hancock,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Hancock,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Hardy,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hardy,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Hardy,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Hardy,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Hardy,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Hardy,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Hardy,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Hardy,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Hardy,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Hardy,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Hardy,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Hardy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hardy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Hardy,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Hardy,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Hardy,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Hardy,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Hardy,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Harrison,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Harrison,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Harrison,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Harrison,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Harrison,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Harrison,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Harrison,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Harrison,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Harrison,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Harrison,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Harrison,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Harrison,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Harrison,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Harrison,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Harrison,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Harrison,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jackson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Jackson,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Jackson,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Jackson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Jackson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Jackson,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Jackson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jackson,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Jackson,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Jackson,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Jackson,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Jefferson,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Jefferson,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Jefferson,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Jefferson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Jefferson,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Jefferson,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Jefferson,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Jefferson,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Jefferson,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Jefferson,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Jefferson,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Jefferson,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Kanawha,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Kanawha,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Kanawha,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Kanawha,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Kanawha,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Kanawha,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Kanawha,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Kanawha,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Kanawha,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Kanawha,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Kanawha,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Kanawha,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Kanawha,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Kanawha,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Kanawha,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Kanawha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Kanawha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Kanawha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Kanawha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Kanawha,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Kanawha,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Kanawha,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Kanawha,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Lewis,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Lewis,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lewis,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Lewis,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Lewis,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Lewis,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lewis,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Lewis,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Lewis,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Lewis,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Lewis,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Lewis,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Lewis,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Lewis,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Lewis,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Lincoln,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Lincoln,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Lincoln,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Lincoln,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Lincoln,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Lincoln,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Lincoln,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Lincoln,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Lincoln,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Lincoln,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,2,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Lincoln,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Lincoln,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Logan,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Logan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Logan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Logan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Logan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Logan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Logan,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Logan,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Logan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Logan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Logan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Logan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Logan,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Logan,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Logan,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Logan,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Logan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Logan,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Logan,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Logan,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Logan,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Marion,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Marion,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marion,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Marion,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Marion,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Marion,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Marion,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Marion,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Marion,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Marion,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marion,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Marion,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Marion,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Marion,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Marion,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Marion,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Marshall,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Marshall,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Marshall,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Marshall,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Marshall,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marshall,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marshall,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Marshall,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Marshall,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Marshall,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Marshall,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Marshall,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Marshall,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Marshall,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Marshall,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Marshall,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mason,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mason,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mason,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Mason,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mason,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mason,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Mason,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Mason,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Mason,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Mason,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mason,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Mason,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Mason,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mason,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Mason,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Mason,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Mason,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Mason,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,2,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Mason,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Mason,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,McDowell,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,McDowell,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,McDowell,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,McDowell,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,McDowell,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,McDowell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,McDowell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,McDowell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,McDowell,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,McDowell,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,McDowell,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,McDowell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,McDowell,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,McDowell,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,McDowell,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,McDowell,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mercer,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mercer,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Mercer,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Mercer,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Mercer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Mercer,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Mercer,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mercer,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Mercer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mercer,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Mercer,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Mercer,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Mercer,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Mineral,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mineral,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Mineral,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mineral,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Mineral,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Mineral,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mineral,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mineral,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Mineral,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mineral,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Mineral,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mineral,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mineral,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Mineral,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Mineral,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Mineral,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Mineral,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Mingo,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mingo,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Mingo,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mingo,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Mingo,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mingo,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Mingo,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Mingo,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Mingo,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Mingo,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Mingo,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Mingo,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Mingo,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Mingo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Mingo,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Mingo,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Mingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Mingo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Mingo,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Mingo,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Mingo,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Mingo,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Monongalia,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Monongalia,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Monongalia,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monongalia,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Monongalia,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Monongalia,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Monongalia,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Monongalia,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Monongalia,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Monongalia,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Monongalia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Monongalia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Monongalia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Monongalia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Monongalia,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Monongalia,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Monongalia,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Monongalia,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Monongalia,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Monongalia,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Monroe,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Monroe,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Monroe,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Monroe,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Monroe,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Monroe,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Monroe,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Monroe,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Monroe,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Monroe,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Morgan,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Morgan,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Morgan,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Morgan,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Morgan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Morgan,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Morgan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Morgan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Morgan,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Morgan,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Morgan,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Morgan,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Nicholas,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Nicholas,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Nicholas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Nicholas,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Nicholas,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Nicholas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Nicholas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Nicholas,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Nicholas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Nicholas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Nicholas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Nicholas,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Nicholas,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Nicholas,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Nicholas,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Ohio,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Ohio,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ohio,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Ohio,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Ohio,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Ohio,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ohio,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Ohio,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Ohio,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Ohio,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Ohio,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Ohio,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Ohio,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Ohio,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Ohio,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Pendleton,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pendleton,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pendleton,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Pendleton,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Pendleton,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Pendleton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Pendleton,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pendleton,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Pendleton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pendleton,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pendleton,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pendleton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Pendleton,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Pendleton,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Pendleton,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pendleton,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pendleton,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Pendleton,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Pleasants,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pleasants,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pleasants,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pleasants,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Pleasants,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pleasants,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pleasants,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Pleasants,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Pleasants,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Pleasants,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pleasants,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pleasants,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Pleasants,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Pleasants,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Pleasants,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pleasants,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pleasants,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pleasants,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pleasants,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Pleasants,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Pleasants,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Pleasants,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pleasants,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pleasants,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Pleasants,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Pocahontas,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pocahontas,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Pocahontas,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Pocahontas,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Pocahontas,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Pocahontas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pocahontas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pocahontas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Pocahontas,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Pocahontas,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Pocahontas,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Pocahontas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pocahontas,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Pocahontas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Pocahontas,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Pocahontas,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Pocahontas,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pocahontas,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Pocahontas,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Preston,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Preston,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Preston,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Preston,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Preston,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Preston,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Preston,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Preston,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Preston,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Preston,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Preston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Preston,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Preston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Preston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Preston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Preston,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Preston,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Preston,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Preston,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Preston,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Preston,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Putnam,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Putnam,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Putnam,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Putnam,The Health Plan,Local CCP,The Health Plan SecureCare Capitol Plan (HMO),HMO,No,,Enhanced Alternative,H3672,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Putnam,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Putnam,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Putnam,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Putnam,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Putnam,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Putnam,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Putnam,The Health Plan,Local CCP,The Health Plan SecureChoice Capitol Plan (PPO),Local PPO,No,,Enhanced Alternative,H8604,013,0,,,$39.30 ,$65.10 ,$0.00 ,$65.10 ,$24.90 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Putnam,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Putnam,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Raleigh,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Raleigh,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Raleigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Raleigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Raleigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Raleigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Raleigh,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Raleigh,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Raleigh,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Raleigh,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Raleigh,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Raleigh,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Raleigh,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Raleigh,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Raleigh,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Raleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Raleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Raleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Raleigh,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Raleigh,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Raleigh,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Raleigh,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Raleigh,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Randolph,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Randolph,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Randolph,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Randolph,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Randolph,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Randolph,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Randolph,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Randolph,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Randolph,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Randolph,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Randolph,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Randolph,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Randolph,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Randolph,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Randolph,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Randolph,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Ritchie,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Ritchie,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Ritchie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ritchie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Ritchie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ritchie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Ritchie,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Ritchie,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Ritchie,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Ritchie,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Ritchie,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Ritchie,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Ritchie,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Ritchie,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Ritchie,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Ritchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Ritchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Ritchie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Ritchie,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Ritchie,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Ritchie,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Ritchie,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Ritchie,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Ritchie,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Roane,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Roane,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Roane,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Roane,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Roane,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Roane,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Roane,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Roane,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Roane,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Roane,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Roane,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Roane,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Roane,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Roane,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Roane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Roane,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Roane,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Roane,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Roane,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Roane,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Summers,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Summers,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Summers,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Summers,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Summers,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Summers,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Summers,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Summers,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Summers,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Summers,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Summers,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Summers,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Summers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Summers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Summers,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Summers,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Summers,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Summers,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Summers,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Taylor,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Taylor,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Taylor,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Taylor,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Taylor,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Taylor,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Taylor,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Taylor,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Taylor,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Taylor,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Taylor,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Taylor,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Taylor,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Taylor,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Taylor,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Taylor,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Tucker,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Tucker,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Tucker,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tucker,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Tucker,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Tucker,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Tucker,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tucker,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Tucker,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Tucker,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Tucker,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Tucker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Tucker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Tucker,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Tucker,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Tucker,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Tucker,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Tucker,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Tucker,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Tucker,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Tyler,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Tyler,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Tyler,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Tyler,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Tyler,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Tyler,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Tyler,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Tyler,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Tyler,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Tyler,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Tyler,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Tyler,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Tyler,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Tyler,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Tyler,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Tyler,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Tyler,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Upshur,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Upshur,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Upshur,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Upshur,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Upshur,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Upshur,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Upshur,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Upshur,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Upshur,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Upshur,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Upshur,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Upshur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Upshur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Upshur,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Upshur,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Upshur,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Upshur,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Upshur,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Upshur,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Upshur,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wayne,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wayne,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Wayne,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Wayne,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Wayne,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Wayne,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wayne,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wayne,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wayne,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Wayne,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wayne,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Wayne,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Wayne,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wayne,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,2,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wayne,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Wayne,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Webster,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Webster,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Webster,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Webster,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Webster,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Webster,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice H5216-019 (PPO),Local PPO,No,,Enhanced Alternative,H5216,019,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Webster,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Webster,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Webster,Humana,PFFS,Humana Gold Choice H8145-052 (PFFS),PFFS,No,,Enhanced Alternative,H8145,052,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$360.00 ,1,,,3.5,4.5,4.0
West Virginia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Webster,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Webster,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Webster,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Webster,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Webster,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Wetzel,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wetzel,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,026,0,,,$26.70 ,$18.30 ,$0.00 ,$18.30 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,041,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Advantra Elite (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Wetzel,Aetna Medicare,Local CCP,Aetna Medicare Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,007,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wetzel,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Wetzel,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Wetzel,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Wetzel,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Wetzel,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Wetzel,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wetzel,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wetzel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wetzel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wetzel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Wetzel,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wetzel,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Wetzel,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Wetzel,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wetzel,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wetzel,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Wirt,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wirt,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wirt,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wirt,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Wirt,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wirt,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wirt,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Wirt,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Wirt,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Wirt,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Wirt,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Wirt,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Wirt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wirt,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wirt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wirt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wirt,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Wirt,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Wirt,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Wirt,Peak Health,Local CCP,Peak Advantage Vista (PPO),Local PPO,No,,Enhanced Alternative,H8947,001,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wirt,Peak Health,Local CCP,Peak Advantage Summit (PPO),Local PPO,No,,Enhanced Alternative,H8947,002,1,,,$0.00 ,$18.00 ,$0.00 ,$18.00 ,$0.00 ,$0.00 ,,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
West Virginia,Wirt,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Wirt,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wood,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wood,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Wood,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wood,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wood,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Wood,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Wood,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Wood,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,1,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,1,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Wood,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,1,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,HumanaChoice H5216-395 (PPO),Local PPO,No,,Enhanced Alternative,H5216,395,0,,,$0.00 ,$46.00 ,$0.00 ,$46.00 ,$5.70 ,$150.00 ,1,,,4.5,4.0,4.5
West Virginia,Wood,Humana,Local CCP,Humana Gold Plus H5619-113 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5619,113,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,3.5,4.0
West Virginia,Wood,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,126,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wood,Humana,Local CCP,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5619,162,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
West Virginia,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0004 (PPO),Local PPO,No,,Enhanced Alternative,H8211,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wood,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Wood,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Wood,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Wood,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
West Virginia,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,013,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wyoming,UnitedHealthcare,Local CCP,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,058,0,,Yes,$0.00 ,$35.60 ,$0.00 ,$35.60 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
West Virginia,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Gold (PPO),Local PPO,No,,Enhanced Alternative,H1608,027,0,,,$11.40 ,$13.60 ,$0.00 ,$13.60 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Credit Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,031,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.0,4.0,4.0
West Virginia,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Value (PPO),Local PPO,No,,Enhanced Alternative,H1608,040,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Silver (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1692,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
West Virginia,Wyoming,Aetna Medicare,Local CCP,Aetna Medicare Advantra Cares (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H1692,005,0,,Yes,$0.00 ,$25.10 ,$0.00 ,$25.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
West Virginia,Wyoming,The Health Plan,Local CCP,The Health Plan SecureCare SNP (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H3672,019,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.0
West Virginia,Wyoming,The Health Plan,Local CCP,The Health Plan SecureCare - Option II (HMO),HMO,No,,Enhanced Alternative,H3672,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.0
West Virginia,Wyoming,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Standard (PPO),Local PPO,No,,Enhanced Alternative,H5106,013,0,,,$64.70 ,$59.10 ,$32.20 ,$91.30 ,$51.10 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Distinct (PPO),Local PPO,No,,Enhanced Alternative,H5106,029,2,,,$0.00 ,$25.00 ,$0.00 ,$25.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Signature (PPO),Local PPO,No,,Enhanced Alternative,H5106,030,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Merit (PPO),Local PPO,No,,Enhanced Alternative,H5106,031,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$500.00 ,1,,,4.5,4.0,4.5
West Virginia,Wyoming,Highmark Blue Cross Blue Shield,Local CCP,Freedom Blue PPO Prestige (PPO),Local PPO,No,,Enhanced Alternative,H5106,032,2,,,$0.00 ,$36.20 ,$2.80 ,$39.00 ,$2.80 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice H5216-124 (PPO),Local PPO,No,,Enhanced Alternative,H5216,124,0,,,$47.80 ,$75.20 ,$0.00 ,$75.20 ,$35.00 ,$0.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice H5216-182 (PPO),Local PPO,No,,Enhanced Alternative,H5216,182,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5216,220,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice H5216-327 (PPO),Local PPO,No,,Enhanced Alternative,H5216,327,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice H5216-328 (PPO),Local PPO,No,,Enhanced Alternative,H5216,328,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$545.00 ,1,,Yes,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,391,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
West Virginia,Wyoming,Humana,Local CCP,HumanaChoice H5525-005 (PPO),Local PPO,No,,Enhanced Alternative,H5525,005,0,,,$3.40 ,$49.60 ,$0.00 ,$49.60 ,$9.40 ,$0.00 ,,,,4.0,3.5,4.0
West Virginia,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0001 (PPO),Local PPO,No,,Enhanced Alternative,H8211,001,0,,,$0.00 ,$26.00 ,$0.00 ,$26.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0002 (PPO),Local PPO,No,,Enhanced Alternative,H8211,002,0,,,$0.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
West Virginia,Wyoming,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WV-0003 (PPO),Local PPO,No,,Enhanced Alternative,H8211,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,3.5,3.5
West Virginia,Wyoming,The Health Plan,Local CCP,The Health Plan SecureChoice - Option II (PPO),Local PPO,No,,Enhanced Alternative,H8604,011,0,,,$109.10 ,$39.90 ,$4.40 ,$44.30 ,$4.40 ,$100.00 ,1,,,4.5,3.5,4.0
West Virginia,Wyoming,The Health Plan,Local CCP,The Health Plan SecureChoice Optimum (PPO),Local PPO,No,,Enhanced Alternative,H8604,014,2,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,,4.5,3.5,4.0
West Virginia,Wyoming,West Virginia Senior Advantage,Local CCP,WV Senior Advantage (HMO I-SNP),HMO,Yes,Institutional,Defined Standard Benefit,H9153,001,0,,Yes,$0.00 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$545.00 ,,,,5.0,4.5,5.0
West Virginia,Wyoming,Humana,Regional CCP,HumanaChoice R0923-002 (Regional PPO),Regional PPO,No,,Enhanced Alternative,R0923,002,0,,,$5.00 ,$41.00 ,$0.00 ,$41.00 ,$0.80 ,$0.00 ,,,,4.0,4.0,4.0
Wisconsin,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,097,0,Yes,Yes,,$44.50 ,$0.00 ,$44.50 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Wisconsin,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,132,0,Yes,,,($19.30),$19.30 ,$0.00 ,$0.00 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Wisconsin,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,219,0,Yes,,,$34.70 ,$44.20 ,$78.90 ,$44.20 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Wisconsin,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5596,056,0,,,,$83.60 ,$0.00 ,$83.60 ,$35.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Anthem / Anthem or Blue KC in Missouri,PDP,Anthem MediBlue Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5596,057,0,,,,$43.00 ,$46.50 ,$89.50 ,$46.50 ,$0.00 ,,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,032,0,Yes,Yes,,$45.60 ,$0.00 ,$45.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,033,0,Yes,,,$26.90 ,$71.80 ,$98.70 ,$71.80 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,191,0,Yes,,,$7.50 ,$2.30 ,$9.80 ,$2.30 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,223,0,Yes,Yes,,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,261,0,Yes,,,$64.80 ,$14.80 ,$79.60 ,$31.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,366,0,Yes,,,$5.00 ,$17.60 ,$22.60 ,$17.60 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,015,0,Yes,,,$74.20 ,$26.50 ,$100.70 ,$52.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Wisconsin,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,139,0,Yes,Yes,,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Wisconsin,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,162,0,Yes,,,$85.50 ,$21.10 ,$106.60 ,$58.50 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Wisconsin,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,195,0,Yes,,,$28.70 ,$6.60 ,$35.30 ,$6.60 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Wisconsin,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,361,0,Yes,Yes,,$41.60 ,$0.00 ,$41.60 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,397,0,Yes,,,$47.00 ,$7.20 ,$54.20 ,$7.20 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wisconsin,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,015,0,,Yes,,$46.30 ,$0.00 ,$46.30 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Wisconsin,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,085,0,,,,$67.10 ,$10.70 ,$77.80 ,$29.70 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Wisconsin,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,118,0,,,,($0.40),$22.50 ,$22.10 ,$22.10 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Wisconsin,Adams,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Adams,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Adams,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Adams,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Adams,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Adams,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Adams,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Adams,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Adams,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Adams,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Adams,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Adams,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Adams,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Adams,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Adams,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Adams,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Adams,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Adams,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Adams,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Adams,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Adams,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Ashland,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Ashland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Ashland,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Ashland,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Ashland,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Ashland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Ashland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Ashland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Ashland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Ashland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Ashland,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Ashland,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Barron,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Barron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Barron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Barron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Barron,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Barron,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Barron,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Barron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Barron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Barron,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Barron,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Bayfield,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Bayfield,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Bayfield,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Bayfield,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Bayfield,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Bayfield,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Bayfield,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Bayfield,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Bayfield,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Bayfield,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Bayfield,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Wisconsin,Bayfield,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Wisconsin,Bayfield,UCare,Local CCP,EssentiaCare Access (PPO),Local PPO,No,,Enhanced Alternative,H8783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.5
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Bayfield,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Brown,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Brown,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Brown,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Brown,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Brown,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Brown,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Brown,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Brown,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Brown,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Brown,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Brown,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Brown,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Brown,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Brown,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Brown,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Brown,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Brown,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Brown,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Brown,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Brown,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Brown,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Brown,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Brown,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Brown,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Brown,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Brown,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Brown,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Brown,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Brown,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Brown,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Brown,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Buffalo,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Buffalo,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Buffalo,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Buffalo,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Buffalo,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Buffalo,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Buffalo,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Buffalo,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Buffalo,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Buffalo,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Buffalo,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Buffalo,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Buffalo,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Buffalo,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Burnett,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Burnett,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Burnett,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Burnett,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Burnett,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Burnett,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Burnett,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Burnett,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Burnett,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Burnett,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Burnett,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Burnett,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Burnett,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Burnett,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Burnett,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Wisconsin,Burnett,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Burnett,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Burnett,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Calumet,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Calumet,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Calumet,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Calumet,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Calumet,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Calumet,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Calumet,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Calumet,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Calumet,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Calumet,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Calumet,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Calumet,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Calumet,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Calumet,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Calumet,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Calumet,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Calumet,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Calumet,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Calumet,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Calumet,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Calumet,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Calumet,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Calumet,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Chippewa,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Chippewa,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Chippewa,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Chippewa,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Chippewa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Chippewa,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Chippewa,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Chippewa,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Chippewa,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Chippewa,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Clark,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Clark,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Clark,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Clark,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Clark,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Clark,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Clark,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Clark,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Clark,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Clark,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Columbia,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Columbia,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Columbia,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Columbia,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Columbia,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Columbia,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Columbia,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Columbia,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Columbia,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Columbia,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Columbia,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Columbia,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Columbia,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Columbia,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Columbia,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Columbia,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Columbia,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Columbia,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Columbia,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Columbia,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Columbia,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Columbia,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Columbia,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Columbia,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Columbia,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Crawford,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Crawford,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Crawford,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Crawford,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Crawford,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Crawford,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Crawford,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Crawford,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Crawford,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Crawford,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Crawford,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Crawford,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Crawford,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Crawford,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Crawford,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Crawford,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Crawford,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Dane,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dane,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dane,iCare,Local CCP,iCare Family Care Partnership (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dane,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Dane,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Dane,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Dane,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Dane,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Dane,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dane,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Dane,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dane,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dane,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dane,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Dane,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Dane,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Dane,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Dane,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dane,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dane,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dane,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5262,030,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Wisconsin,Dane,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Dane,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Dane,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Dane,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Dane,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Dane,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Dane,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Dane,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dane,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dane,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dane,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Dane,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dodge,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dodge,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Dodge,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Dodge,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Dodge,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Dodge,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Dodge,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Dodge,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Dodge,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Dodge,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Dodge,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dodge,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dodge,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Dodge,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Dodge,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Dodge,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Dodge,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Dodge,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dodge,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Door,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Door,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Door,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Door,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Door,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Door,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Door,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Door,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Door,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Door,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Door,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Door,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Door,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Door,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Door,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Door,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Door,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Door,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Door,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Door,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Door,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Door,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Door,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Door,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Douglas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Douglas,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Douglas,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Douglas,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Douglas,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Douglas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Douglas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Douglas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Douglas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Douglas,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Douglas,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Douglas,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Douglas,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Douglas,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Wisconsin,Douglas,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Wisconsin,Douglas,UCare,Local CCP,EssentiaCare Access (PPO),Local PPO,No,,Enhanced Alternative,H8783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.5
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Douglas,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Dunn,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dunn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Dunn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Dunn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Dunn,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Dunn,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Dunn,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Dunn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dunn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Dunn,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Dunn,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Dunn,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Eau Claire,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Eau Claire,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Eau Claire,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Eau Claire,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Eau Claire,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Eau Claire,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Eau Claire,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Eau Claire,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Eau Claire,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Eau Claire,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Eau Claire,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Florence,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Florence,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Florence,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Florence,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Florence,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Florence,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Florence,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Florence,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Florence,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Florence,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Florence,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Florence,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Florence,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Florence,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Florence,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Florence,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Florence,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Florence,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Florence,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Florence,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,412,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Florence,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,413,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Florence,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Florence,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Fond du Lac,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Fond du Lac,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Fond du Lac,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Fond du Lac,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Fond du Lac,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Fond du Lac,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Fond du Lac,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Fond du Lac,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Fond du Lac,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Fond du Lac,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Fond du Lac,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Fond du Lac,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Fond du Lac,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Fond du Lac,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Fond du Lac,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Fond du Lac,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Fond du Lac,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Fond du Lac,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Fond du Lac,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Fond du Lac,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Forest,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Forest,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Forest,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Forest,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Forest,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Forest,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Forest,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Forest,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Forest,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Forest,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Forest,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Forest,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Forest,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Forest,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Forest,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Forest,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,412,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Forest,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,413,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Forest,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Forest,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Forest,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Forest,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Grant,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Grant,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Grant,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Grant,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Grant,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Grant,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Grant,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Grant,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Grant,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Green,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Green,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Green,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Green,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Green,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Green,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Green,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Green,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Green,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Green,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Green,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Green,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Green,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Green,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Green,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Green,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Green,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,389,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Green,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Green,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Green,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Green,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Green Lake,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Green Lake,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Green Lake,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Green Lake,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Green Lake,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Green Lake,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green Lake,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Green Lake,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green Lake,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Green Lake,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green Lake,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Green Lake,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Green Lake,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Green Lake,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Green Lake,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Green Lake,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Green Lake,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green Lake,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green Lake,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Green Lake,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Green Lake,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Green Lake,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Green Lake,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Green Lake,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Green Lake,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Green Lake,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Iowa,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Iowa,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Iowa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Iowa,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Iowa,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Iowa,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Iowa,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Iowa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Iowa,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Iowa,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Iowa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iowa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Iowa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iowa,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iowa,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Iowa,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Iowa,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Iowa,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Iowa,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Iowa,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Iowa,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Iowa,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Iowa,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Iron,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Iron,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Iron,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Iron,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Iron,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Iron,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Iron,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Iron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Iron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iron,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Iron,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Iron,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Iron,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Jackson,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Jackson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Jackson,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Jackson,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Jackson,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Jackson,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Jackson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Jackson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jackson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Jackson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jackson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jackson,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jackson,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jackson,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jackson,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Jackson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Jefferson,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Jefferson,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Jefferson,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Jefferson,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Jefferson,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Jefferson,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Jefferson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jefferson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Jefferson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jefferson,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Jefferson,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Jefferson,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Jefferson,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Jefferson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Jefferson,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jefferson,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jefferson,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Jefferson,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Jefferson,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Jefferson,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Jefferson,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Jefferson,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Jefferson,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Juneau,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Juneau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Juneau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Juneau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Juneau,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Juneau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Juneau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Juneau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Juneau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Juneau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Juneau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Juneau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Juneau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Juneau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Juneau,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Juneau,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Juneau,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Juneau,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Kenosha,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Kenosha,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Kenosha,iCare,Local CCP,iCare Family Care Partnership (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Kenosha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Kenosha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Kenosha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Kenosha,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kenosha,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Kenosha,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Kenosha,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Kenosha,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kenosha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kenosha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kenosha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kenosha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Kenosha,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Kenosha,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Kenosha,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Kenosha,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Kenosha,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Kenosha,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Kewaunee,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Kewaunee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Kewaunee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Kewaunee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Kewaunee,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Kewaunee,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Kewaunee,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Kewaunee,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Kewaunee,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Kewaunee,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Kewaunee,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Kewaunee,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Kewaunee,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Kewaunee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Kewaunee,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Kewaunee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Kewaunee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kewaunee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kewaunee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Kewaunee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Kewaunee,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Kewaunee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Kewaunee,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Kewaunee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,La Crosse,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,La Crosse,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,La Crosse,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,La Crosse,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,La Crosse,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,La Crosse,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,La Crosse,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,La Crosse,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,La Crosse,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,La Crosse,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,La Crosse,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5262,029,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Wisconsin,La Crosse,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,410,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,La Crosse,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,411,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,La Crosse,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,La Crosse,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Lafayette,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Lafayette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Lafayette,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Lafayette,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Lafayette,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Lafayette,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Lafayette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Lafayette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Lafayette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Lafayette,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,389,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Lafayette,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Lafayette,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Lafayette,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Langlade,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Langlade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Langlade,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Langlade,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Langlade,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Langlade,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Langlade,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Langlade,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Langlade,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Langlade,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Langlade,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Langlade,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Langlade,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Langlade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Langlade,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Langlade,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,412,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Langlade,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,413,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Langlade,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Langlade,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Langlade,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Langlade,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Langlade,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Langlade,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Lincoln,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Lincoln,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Lincoln,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Lincoln,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Lincoln,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Lincoln,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Manitowoc,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Manitowoc,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Manitowoc,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Manitowoc,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Manitowoc,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Manitowoc,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Manitowoc,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Manitowoc,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Manitowoc,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Manitowoc,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Manitowoc,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Manitowoc,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Manitowoc,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Manitowoc,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Manitowoc,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Manitowoc,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Manitowoc,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Manitowoc,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Manitowoc,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Manitowoc,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Manitowoc,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Manitowoc,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Marathon,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marathon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marathon,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Marathon,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Marathon,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Marathon,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Marathon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Marathon,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Marathon,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Marathon,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Marathon,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Marathon,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marathon,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marathon,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Marinette,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Marinette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Marinette,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Marinette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Marinette,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Marinette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Marinette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Marinette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Marinette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marinette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marinette,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Marinette,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Marinette,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Marinette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marinette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Marinette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marinette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marinette,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Marinette,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Marinette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Marinette,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Marinette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Marinette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Marinette,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Marinette,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Marinette,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Marinette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Marinette,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Marinette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marinette,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marinette,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Marquette,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Marquette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Marquette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Marquette,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Marquette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Marquette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Marquette,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Marquette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marquette,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Marquette,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Marquette,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Marquette,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Marquette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marquette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Marquette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marquette,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Marquette,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Marquette,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Marquette,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Marquette,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Marquette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Marquette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Marquette,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Marquette,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Marquette,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Marquette,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Marquette,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Marquette,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Marquette,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marquette,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Marquette,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Menominee,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Menominee,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Menominee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Menominee,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Menominee,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Menominee,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Menominee,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Menominee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Menominee,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Menominee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Menominee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Menominee,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Menominee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Milwaukee,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Milwaukee,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Milwaukee,iCare,Local CCP,iCare Family Care Partnership (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Milwaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Milwaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Milwaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Milwaukee,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Milwaukee,Network Health Medicare Advantage Plans,Local CCP,Network Health Go (PPO),Local PPO,No,,Enhanced Alternative,H5215,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,5.0,4.5,5.0
Wisconsin,Milwaukee,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Milwaukee,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Milwaukee,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Milwaukee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Milwaukee,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Milwaukee,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Milwaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Milwaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Milwaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Milwaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Dual Eligible (HMO D-SNP),HMO,Yes,Dual-Eligible,Actuarially Equivalent Standard,H5262,031,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,3.5,4.5
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Milwaukee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Milwaukee,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Milwaukee,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Milwaukee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Milwaukee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Milwaukee,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Milwaukee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Monroe,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Monroe,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Monroe,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Monroe,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Monroe,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Monroe,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Monroe,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Monroe,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Monroe,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Monroe,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Monroe,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,410,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Monroe,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,411,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Monroe,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Monroe,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Oconto,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Oconto,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Oconto,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Oconto,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Oconto,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Oconto,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Oconto,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Oconto,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Oconto,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Oconto,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Oconto,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oconto,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Oconto,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oconto,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Oconto,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Oconto,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Oconto,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Oconto,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Oconto,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Oconto,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Oconto,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Oconto,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Oconto,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Oconto,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Oconto,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Oconto,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Oconto,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Oneida,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Oneida,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Oneida,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Oneida,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Oneida,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Oneida,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Oneida,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Outagamie,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Outagamie,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Outagamie,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Outagamie,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Outagamie,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Outagamie,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Outagamie,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Outagamie,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Outagamie,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Outagamie,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Outagamie,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Outagamie,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Outagamie,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Outagamie,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Outagamie,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Outagamie,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Outagamie,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Outagamie,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Outagamie,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Outagamie,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Outagamie,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Outagamie,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Outagamie,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Outagamie,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Outagamie,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Outagamie,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Outagamie,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Ozaukee,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Ozaukee,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Ozaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Ozaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Ozaukee,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Ozaukee,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Ozaukee,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Ozaukee,Network Health Medicare Advantage Plans,Local CCP,Network Health Go (PPO),Local PPO,No,,Enhanced Alternative,H5215,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,5.0,4.5,5.0
Wisconsin,Ozaukee,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Ozaukee,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Ozaukee,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Ozaukee,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Ozaukee,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Ozaukee,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Ozaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Ozaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Ozaukee,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Ozaukee,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Ozaukee,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Ozaukee,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Ozaukee,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Ozaukee,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Ozaukee,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Pepin,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Pepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Pepin,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Pepin,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Pepin,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Pepin,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Pepin,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Pepin,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Pepin,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Pepin,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Pepin,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pepin,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Pepin,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pepin,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pepin,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Pepin,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Pepin,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Pepin,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Pepin,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Pierce,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Pierce,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Pierce,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Pierce,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Pierce,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Pierce,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Pierce,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Pierce,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pierce,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Pierce,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pierce,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Pierce,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Pierce,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Polk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Polk,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Polk,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Polk,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Polk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Polk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Polk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Polk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Polk,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Polk,Humana,Local CCP,HumanaChoice H5216-359 (PPO),Local PPO,No,,Enhanced Alternative,H5216,359,0,,,$15.70 ,$39.30 ,$0.00 ,$39.30 ,$0.00 ,$400.00 ,1,,,4.5,4.0,4.5
Wisconsin,Polk,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Polk,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Polk,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Polk,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Portage,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Portage,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Portage,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Portage,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Portage,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Portage,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Portage,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Portage,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Portage,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Portage,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Portage,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Portage,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Portage,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Portage,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Portage,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Portage,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,412,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Portage,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,413,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Portage,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Portage,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Portage,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Portage,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Portage,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Price,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Price,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Price,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Price,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Price,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Price,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Price,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Price,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Price,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Racine,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Racine,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Racine,iCare,Local CCP,iCare Family Care Partnership (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Racine,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Racine,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Racine,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Racine,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Racine,Network Health Medicare Advantage Plans,Local CCP,Network Health Go (PPO),Local PPO,No,,Enhanced Alternative,H5215,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,5.0,4.5,5.0
Wisconsin,Racine,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Racine,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Racine,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Racine,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Racine,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Racine,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Racine,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Racine,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Racine,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Racine,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Racine,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Racine,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Racine,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Racine,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Racine,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Richland,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Richland,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Richland,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Richland,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Richland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Richland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Richland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Richland,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Richland,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Richland,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Richland,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Richland,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Richland,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Richland,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Richland,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Richland,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Richland,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Richland,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Rock,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Rock,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Rock,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Rock,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Rock,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Rock,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Rock,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rock,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Rock,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Rock,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Rock,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Rock,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Rock,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Rock,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Rock,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,289,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Rock,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,389,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Rock,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Rock,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Rock,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rock,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rock,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rock,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Rock,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Rusk,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Rusk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Rusk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Rusk,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Rusk,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Rusk,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Rusk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Rusk,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Rusk,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Rusk,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Sauk,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sauk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Sauk,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sauk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sauk,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sauk,iCare,Local CCP,iCare Family Care Partnership (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sauk,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Sauk,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Sauk,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Sauk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sauk,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Sauk,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Sauk,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Sauk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sauk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Sauk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sauk,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sauk,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Sauk,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Sauk,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Sauk,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Sauk,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Sauk,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Sauk,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Sauk,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Sauk,Dean Advantage,Local CCP,Dean Advantage Assurance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,001,0,,,$0.00 ,$38.10 ,$11.90 ,$50.00 ,$11.90 ,$150.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Dean Advantage,Local CCP,Dean Advantage Balance (HMO-POS),HMOPOS,No,,Enhanced Alternative,H9096,002,0,,,$0.00 ,$52.50 ,$44.50 ,$97.00 ,$48.90 ,$100.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Dean Advantage,Local CCP,Dean Advantage Essential (HMO),HMO,No,,Enhanced Alternative,H9096,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Dean Advantage,Local CCP,Dean Advantage Complete (HMO),HMO,No,,Enhanced Alternative,H9096,005,0,,,$139.10 ,$59.20 ,$52.70 ,$111.90 ,$63.80 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Sauk,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sawyer,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Sawyer,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Sawyer,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sawyer,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Sawyer,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sawyer,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Shawano,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Shawano,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Shawano,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Shawano,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Shawano,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Shawano,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Shawano,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Shawano,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Shawano,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Shawano,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Shawano,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Shawano,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Shawano,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Shawano,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Shawano,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Shawano,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Shawano,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Shawano,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Shawano,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Shawano,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Shawano,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Shawano,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Shawano,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Shawano,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Shawano,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Sheboygan,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Sheboygan,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Sheboygan,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Sheboygan,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Sheboygan,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Sheboygan,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Sheboygan,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Sheboygan,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Sheboygan,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Sheboygan,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Sheboygan,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Sheboygan,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Sheboygan,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Sheboygan,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Sheboygan,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Sheboygan,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Sheboygan,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Sheboygan,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Sheboygan,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Sheboygan,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0008 (PPO),Local PPO,No,,Enhanced Alternative,H0294,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$450.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,St. Croix,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,St. Croix,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,St. Croix,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,St. Croix,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,St. Croix,Humana,Local CCP,HumanaChoice H5216-063 (PPO),Local PPO,No,,Enhanced Alternative,H5216,063,0,,,$58.80 ,$40.20 ,$0.00 ,$40.20 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,St. Croix,Humana,Local CCP,HumanaChoice H5216-397 (PPO),Local PPO,No,,Enhanced Alternative,H5216,397,0,,,$15.80 ,$53.20 ,$0.00 ,$53.20 ,$8.10 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,St. Croix,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,St. Croix,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,St. Croix,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Taylor,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Taylor,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Taylor,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Taylor,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Taylor,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Taylor,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Taylor,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Taylor,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Trempealeau,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Trempealeau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Trempealeau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Trempealeau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Trempealeau,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Trempealeau,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Trempealeau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Trempealeau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Trempealeau,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Trempealeau,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Trempealeau,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Trempealeau,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Vernon,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Vernon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Vernon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Vernon,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Vernon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vernon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Vernon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vernon,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vernon,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Vernon,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,001,0,,,$119.80 ,$47.20 ,$0.00 ,$47.20 ,$0.00 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Vernon,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,003,0,,,$8.60 ,$55.40 ,$0.00 ,$55.40 ,$7.50 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Vernon,Quartz Medicare Advantage,Local CCP,Gundersen Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,021,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,410,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Vernon,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,411,0,,,$0.00 ,$28.00 ,$0.00 ,$28.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Vernon,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Vernon,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Vilas,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Vilas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Vilas,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Vilas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Vilas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Vilas,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Vilas,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Vilas,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Vilas,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Vilas,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0007 (PPO),Local PPO,No,,Enhanced Alternative,H0294,016,0,,,$0.50 ,$32.50 ,$0.00 ,$32.50 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Walworth,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Walworth,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Walworth,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Walworth,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Walworth,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Walworth,Humana,Local CCP,HumanaChoice H5216-006 (PPO),Local PPO,No,,Enhanced Alternative,H5216,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Walworth,Humana,Local CCP,HumanaChoice H5216-168 (PPO),Local PPO,No,,Enhanced Alternative,H5216,168,0,,,$91.00 ,$57.00 ,$0.00 ,$57.00 ,$8.90 ,$300.00 ,1,,,4.5,4.0,4.5
Wisconsin,Walworth,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Walworth,Humana,Local CCP,HumanaChoice H5216-356 (PPO),Local PPO,No,,Enhanced Alternative,H5216,356,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0012 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,030,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Walworth,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0017 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,097,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Walworth,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Walworth,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Walworth,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Walworth,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Walworth,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Walworth,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Walworth,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Walworth,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Walworth,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Walworth,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Washburn,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Washburn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Washburn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Washburn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Washburn,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Washburn,Medica,1876 Cost,Medica Prime Solution Focus w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,039,0,,,,$31.90 ,$10.90 ,$42.80 ,$10.90 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Washburn,Medica,1876 Cost,Medica Prime Solution Total w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,041,0,,,,$36.20 ,$15.30 ,$51.50 ,$15.30 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Washburn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Washburn,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Washburn,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Washburn,UCare,Local CCP,EssentiaCare Secure (PPO),Local PPO,No,,Enhanced Alternative,H8783,001,0,,,$12.40 ,$6.60 ,$0.00 ,$6.60 ,$0.00 ,$295.00 ,1,,,4.0,4.5,4.5
Wisconsin,Washburn,UCare,Local CCP,EssentiaCare Grand (PPO),Local PPO,No,,Enhanced Alternative,H8783,002,0,,,$70.40 ,$8.60 ,$0.00 ,$8.60 ,$0.00 ,$0.00 ,,,,4.0,4.5,4.5
Wisconsin,Washburn,UCare,Local CCP,EssentiaCare Access (PPO),Local PPO,No,,Enhanced Alternative,H8783,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$345.00 ,1,,,4.0,4.5,4.5
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Washburn,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Washington,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Washington,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Washington,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Washington,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Washington,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Washington,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Washington,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Washington,Network Health Medicare Advantage Plans,Local CCP,Network Health Go (PPO),Local PPO,No,,Enhanced Alternative,H5215,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,5.0,4.5,5.0
Wisconsin,Washington,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Washington,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Washington,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Washington,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Washington,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Washington,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Washington,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Washington,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Washington,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Washington,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Washington,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Washington,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Washington,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Washington,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Washington,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Washington,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0009 (PPO),Local PPO,No,,Enhanced Alternative,H0294,026,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare Premier (HMO-POS),HMOPOS,No,,Enhanced Alternative,H1206,002,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,Plan too new to be measured,Plan too new to be measured,Plan too new to be measured
Wisconsin,Waukesha,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Waukesha,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waukesha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waukesha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Waukesha,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waukesha,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Waukesha,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Waukesha,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waukesha,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Waukesha,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waukesha,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waukesha,Network Health Medicare Advantage Plans,Local CCP,Network Health Go (PPO),Local PPO,No,,Enhanced Alternative,H5215,009,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waukesha,Network Health Medicare Advantage Plans,Local CCP,Network Health Anywhere (PPO),Local PPO,No,,Enhanced Alternative,H5215,010,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waukesha,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Waukesha,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Waukesha,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Waukesha,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0010 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,004,0,,,$0.00 ,$29.00 ,$0.00 ,$29.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0013 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,033,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waukesha,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waukesha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Waukesha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Waukesha,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,150,0,,,$0.00 ,$19.00 ,$0.00 ,$19.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,195,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare Enhanced Select (PPO),Local PPO,No,,Enhanced Alternative,H5521,386,0,,,$138.30 ,$30.70 ,$0.00 ,$30.70 ,$0.00 ,$300.00 ,1,,,4.5,4.0,4.0
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare Value Plus (PPO),Local PPO,No,,Enhanced Alternative,H5521,400,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$400.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waukesha,Aetna Medicare,Local CCP,Aetna Medicare SmartFit (PPO),Local PPO,No,,Enhanced Alternative,H5521,403,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waukesha,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Waukesha,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Waukesha,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Waukesha,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waukesha,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waukesha,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waupaca,Community Care,Local CCP,Community Care's Partnership Program (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2034,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,3.5,Not enough data available
Wisconsin,Waupaca,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waupaca,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waupaca,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Waupaca,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waupaca,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Waupaca,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Waupaca,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Waupaca,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waupaca,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Waupaca,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waupaca,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waupaca,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Waupaca,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Waupaca,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Waupaca,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waupaca,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waupaca,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Waupaca,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Waupaca,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Waupaca,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waupaca,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waupaca,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Waushara,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waushara,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Waushara,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waushara,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Waushara,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Waushara,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waushara,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Waushara,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Waushara,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Waushara,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Waushara,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waushara,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Waushara,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waushara,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Waushara,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Waushara,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Waushara,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Waushara,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Waushara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Waushara,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,007,0,,,$64.40 ,$59.60 ,$0.00 ,$59.60 ,$11.50 ,$200.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Waushara,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,008,0,,,$19.80 ,$54.20 ,$0.00 ,$54.20 ,$6.10 ,$250.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Waushara,Quartz Medicare Advantage,Local CCP,UW Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,023,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$300.00 ,1,,Yes,4.5,3.5,4.5
Wisconsin,Waushara,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,387,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waushara,Aetna Medicare,Local CCP,Aetna Medicare Premier (PPO),Local PPO,No,,Enhanced Alternative,H5521,388,0,,,$1.50 ,$15.50 ,$0.00 ,$15.50 ,$0.00 ,$150.00 ,1,,Yes,4.5,4.0,4.0
Wisconsin,Waushara,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Waushara,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Waushara,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waushara,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Waushara,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,002,0,,,$0.00 ,$12.00 ,$0.00 ,$12.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0002 (PPO),Local PPO,No,,Enhanced Alternative,H0294,004,0,,,$0.00 ,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$325.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage Walgreens from UHC WI-0006 (PPO),Local PPO,No,,Enhanced Alternative,H0294,015,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Winnebago,iCare,Local CCP,iCare Medicare Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2237,001,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Winnebago,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,001,0,,Yes,$0.00 ,$33.20 ,$0.00 ,$33.20 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Winnebago,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Choice Care (HMO),HMO,No,,Enhanced Alternative,H2879,003,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$125.00 ,1,,,3.0,3.0,3.0
Wisconsin,Winnebago,Molina Healthcare of Wisconsin and Massachusetts,Local CCP,Molina Medicare Complete Care Select (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H2879,005,0,,Yes,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$545.00 ,,,,3.0,3.0,3.0
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Winnebago,HealthPartners,Local CCP,HealthPartners Robin Birch (PPO),Local PPO,No,,Enhanced Alternative,H4882,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,,4.5,4.0,4.5
Wisconsin,Winnebago,HealthPartners,Local CCP,HealthPartners Robin Maple (PPO),Local PPO,No,,Enhanced Alternative,H4882,005,0,,,$14.50 ,$35.50 ,$0.00 ,$35.50 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Winnebago,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Partnership Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,002,0,,Yes,$0.00 ,$23.40 ,$0.00 ,$23.40 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Winnebago,My Choice Wisconsin Health Plan,Local CCP,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5209,004,0,,Yes,$0.00 ,$48.00 ,$0.00 ,$48.00 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wisconsin,Winnebago,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Winnebago,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Winnebago,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Winnebago,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health PlusRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,002,0,,,$29.70 ,$43.30 ,$0.00 ,$43.30 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health PremierRx (PPO),Local PPO,No,,Enhanced Alternative,H5215,005,0,,,$182.20 ,$61.80 ,$0.00 ,$61.80 ,$13.70 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health Cares (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Basic Alternative,H5215,007,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health Select (PPO),Local PPO,No,,Enhanced Alternative,H5215,008,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health Choice (PPO),Local PPO,No,,Enhanced Alternative,H5215,011,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$260.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Local CCP,Network Health Zero (PPO),Local PPO,No,,Enhanced Alternative,H5215,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$395.00 ,1,,,5.0,4.5,5.0
Wisconsin,Winnebago,Humana,Local CCP,HumanaChoice H5216-001 (PPO),Local PPO,No,,Enhanced Alternative,H5216,001,0,,,$22.90 ,$61.10 ,$0.00 ,$61.10 ,$13.00 ,$250.00 ,1,,,4.5,4.0,4.5
Wisconsin,Winnebago,Humana,Local CCP,Humana Value Plus H5216-173 (PPO),Local PPO,No,,Basic Alternative,H5216,173,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.0,4.5
Wisconsin,Winnebago,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Winnebago,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0011 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,011,0,,,$0.00 ,$35.00 ,$0.00 ,$35.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D003 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H5253,024,0,,Yes,$0.00 ,$43.10 ,$0.00 ,$43.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0014 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,034,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Winnebago,UnitedHealthcare,Local CCP,UHC Care Advantage WI-E001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H5253,064,0,,,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Winnebago,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,011,0,,,$0.00 ,$23.00 ,$0.00 ,$23.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Winnebago,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Winnebago,Quartz Medicare Advantage,Local CCP,Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO),HMO,No,,Enhanced Alternative,H5262,024,0,,,$21.60 ,$45.40 ,$0.00 ,$45.40 ,$0.00 ,$0.00 ,,,Yes,4.5,3.5,4.5
Wisconsin,Winnebago,Aetna Medicare,Local CCP,Aetna Medicare Value (PPO),Local PPO,No,,Enhanced Alternative,H5521,283,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wisconsin,Winnebago,Humana,Local CCP,Humana Gold Plus H6622-001 (HMO),HMO,No,,Enhanced Alternative,H6622,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.0,4.0,4.0
Wisconsin,Winnebago,Humana,Local CCP,Humana Together in Health (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Enhanced Alternative,H6622,088,0,,,$0.00 ,$22.10 ,$0.00 ,$22.10 ,$0.00 ,$250.00 ,1,,,4.0,4.0,4.0
Wisconsin,Winnebago,Humana,PFFS,Humana Gold Choice H8145-006 (PFFS),PFFS,No,,Enhanced Alternative,H8145,006,0,,,$0.00 ,$40.00 ,$0.00 ,$40.00 ,$0.00 ,$545.00 ,1,,,3.5,4.5,4.0
Wisconsin,Winnebago,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Winnebago,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,006,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Winnebago,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Wood,UnitedHealthcare,Local CCP,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Yes,Chronic or Disabling Condition,Enhanced Alternative,H0294,010,0,,,$5.80 ,$12.20 ,$0.00 ,$12.20 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0004 (PPO),Local PPO,No,,Enhanced Alternative,H0294,011,0,,,$0.00 ,$37.00 ,$0.00 ,$37.00 ,$0.00 ,$250.00 ,1,,Yes,3.5,3.5,3.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0005 (PPO),Local PPO,No,,Enhanced Alternative,H0294,012,0,,,$75.40 ,$32.60 ,$0.00 ,$32.60 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0294,027,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,3.5,3.5,3.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete WI-D002 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,002,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Wood,UnitedHealthcare,Local CCP,UHC Dual Complete WI-V001 (HMO-POS D-SNP),HMOPOS,Yes,Dual-Eligible,Defined Standard Benefit,H3794,004,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.5,4.5,5.0
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage 3 (PPO),Local PPO,No,,Enhanced Alternative,H4036,008,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$95.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (PPO),Local PPO,No,,Enhanced Alternative,H4036,020,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$195.00 ,1,,Yes,3.5,5.0,4.0
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Local CCP,Essence Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,002,0,,,$22.80 ,$42.90 ,$22.30 ,$65.20 ,$22.30 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Local CCP,Spirit Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,004,0,,,$152.80 ,$63.60 ,$26.60 ,$90.20 ,$42.10 ,$0.00 ,,,,4.0,3.5,4.0
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ally Rx (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H5211,010,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Local CCP,Esteem Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,012,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$250.00 ,1,,,4.0,3.5,4.0
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Local CCP,Ascend Rx (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5211,013,0,,,$0.00 ,$39.20 ,$13.80 ,$53.00 ,$13.80 ,$330.00 ,1,,,4.0,3.5,4.0
Wisconsin,Wood,Humana,Local CCP,Humana USAA Honor with Rx (PPO),Local PPO,No,,Enhanced Alternative,H5216,252,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.5
Wisconsin,Wood,Humana,Local CCP,HumanaChoice H5216-253 (PPO),Local PPO,No,,Enhanced Alternative,H5216,253,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$200.00 ,1,,Yes,4.5,4.0,4.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),HMOPOS,Yes,Institutional,Defined Standard Benefit,H5253,007,0,,Yes,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$545.00 ,,,,4.5,4.5,4.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0015 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,072,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Wood,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WI-0016 (HMO-POS),HMOPOS,No,,Enhanced Alternative,H5253,073,0,,,$0.00 ,$34.00 ,$0.00 ,$34.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wisconsin,Wood,Aspirus Health Plan,Local CCP,Aspirus Health Plan Essential Rx (PPO),Local PPO,No,,Enhanced Alternative,H6874,001,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$245.00 ,1,,,Not enough data available,4.5,Not enough data available
Wisconsin,Wood,Group Health Cooperative of Eau Claire,Local CCP,Cooperative Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H7598,003,0,,Yes,$0.00 ,$48.10 ,$0.00 ,$48.10 ,$0.00 ,$545.00 ,,,,Not enough data available,Not enough data available,Not enough data available
Wisconsin,Wood,Wellcare by Allwell,Local CCP,Wellcare Dual Access (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,001,0,,Yes,$0.00 ,$37.70 ,$0.00 ,$37.70 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Wood,Wellcare by Allwell,Local CCP,Wellcare All Dual Assure (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H8189,007,0,,Yes,$0.00 ,$16.40 ,$0.00 ,$16.40 ,$0.00 ,$545.00 ,,,,3.0,3.5,3.5
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Full Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,003,0,,Yes,$0.00 ,$39.60 ,$0.00 ,$39.60 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Medicare Advantage (HMO),HMO,No,,Enhanced Alternative,H9525,004,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$150.00 ,1,,Yes,4.0,4.0,4.0
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Local CCP,Anthem Dual Advantage (HMO D-SNP),HMO,Yes,Dual-Eligible,Defined Standard Benefit,H9525,012,0,,Yes,$0.00 ,$15.10 ,$0.00 ,$15.10 ,$0.00 ,$545.00 ,,,,4.0,4.0,4.0
Wisconsin,Wood,Humana,Regional CCP,HumanaChoice R5361-002 (Regional PPO),Regional PPO,No,,Basic Alternative,R5361,002,0,,,$46.20 ,$50.80 ,$0.00 ,$50.80 ,$10.70 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,(All Counties),Wellcare,PDP,Wellcare Classic (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S4802,089,0,Yes,Yes,,$39.40 ,$0.00 ,$39.40 ,$0.00 ,$545.00 ,,,,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),Wellcare,PDP,Wellcare Value Script (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,158,0,Yes,,,($19.00),$19.50 ,$0.50 ,$0.50 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),Wellcare,PDP,Wellcare Medicare Rx Value Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S4802,228,0,Yes,,,$34.60 ,$44.40 ,$79.00 ,$44.40 ,$0.00 ,,,,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),Aetna Medicare,PDP,SilverScript Choice (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5601,050,0,Yes,Yes,,$41.00 ,$0.00 ,$41.00 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Aetna Medicare,PDP,SilverScript Plus (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,051,0,Yes,,,$30.60 ,$62.00 ,$92.60 ,$62.00 ,$200.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Aetna Medicare,PDP,SilverScript SmartSaver (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5601,200,0,Yes,,,$2.80 ,$2.50 ,$5.30 ,$2.50 ,$280.00 ,1,,,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Cigna,PDP,Cigna Secure Rx (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5617,123,0,Yes,,,$59.20 ,$0.00 ,$59.20 ,$17.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Cigna,PDP,Cigna Extra Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,270,0,Yes,,,$69.30 ,$11.40 ,$80.70 ,$38.50 ,$145.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Cigna,PDP,Cigna Saver Rx (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5617,375,0,Yes,,,$6.80 ,$13.50 ,$20.30 ,$13.50 ,$545.00 ,1,,,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Standard (PDP),Medicare Prescription Drug Plan,No,,Basic Alternative,S5743,001,0,,,,$76.40 ,$0.00 ,$76.40 ,$34.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,004,0,,,,$83.40 ,$40.10 ,$123.50 ,$81.30 ,$0.00 ,,,Yes,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),MedicareBlue Rx,PDP,MedicareBlue Rx Select (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5743,008,0,,,,$9.00 ,$11.20 ,$20.20 ,$11.20 ,$545.00 ,1,,,Not Applicable,4.0,Not Applicable
Wyoming,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Preferred from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5820,024,0,Yes,,,$74.60 ,$29.20 ,$103.80 ,$61.60 ,$0.00 ,,,Yes,Not Applicable,3.5,Not Applicable
Wyoming,(All Counties),Humana,PDP,Humana Basic Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5884,145,0,Yes,,,$44.50 ,$0.00 ,$44.50 ,$2.30 ,$545.00 ,,,,Not Applicable,3.5,Not Applicable
Wyoming,(All Counties),Humana,PDP,Humana Premier Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,171,0,Yes,,,$74.60 ,$20.60 ,$95.20 ,$53.00 ,$200.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Wyoming,(All Counties),Humana,PDP,Humana Walmart Value Rx Plan (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5884,204,0,Yes,,,$33.50 ,$4.50 ,$38.00 ,$4.50 ,$545.00 ,1,,Yes,Not Applicable,3.5,Not Applicable
Wyoming,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Basic from UHC (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S5921,370,0,Yes,Yes,,$38.50 ,$0.00 ,$38.50 ,$0.00 ,$545.00 ,,,,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),UnitedHealthcare,PDP,AARP Medicare Rx Walgreens from UHC (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S5921,406,0,Yes,,,$55.30 ,$6.70 ,$62.00 ,$19.80 ,$410.00 ,1,,Yes,Not Applicable,3.0,Not Applicable
Wyoming,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Plus (PDP),Medicare Prescription Drug Plan,No,,Actuarially Equivalent Standard,S7126,024,0,,Yes,,$40.90 ,$0.00 ,$40.90 ,$0.00 ,$545.00 ,,,,Not Applicable,2.0,Not Applicable
Wyoming,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Premier (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,094,0,,,,$61.00 ,$9.30 ,$70.30 ,$28.10 ,$349.00 ,1,,,Not Applicable,2.0,Not Applicable
Wyoming,(All Counties),Mutual of Omaha Rx,PDP,Mutual of Omaha Rx Essential (PDP),Medicare Prescription Drug Plan,No,,Enhanced Alternative,S7126,127,0,,,,$2.00 ,$20.90 ,$22.90 ,$20.90 ,$545.00 ,1,,,Not Applicable,2.0,Not Applicable
Wyoming,Albany,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Albany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Albany,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Albany,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Albany,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Albany,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Albany,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Wyoming,Albany,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Albany,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Big Horn,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Big Horn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Big Horn,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Campbell,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Campbell,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Campbell,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Campbell,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Carbon,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Carbon,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Converse,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Converse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Converse,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Crook,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Crook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Crook,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Crook,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Crook,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Crook,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Crook,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Crook,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Fremont,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Fremont,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Fremont,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Wyoming,Goshen,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Goshen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Goshen,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Goshen,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Goshen,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Goshen,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Goshen,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Goshen,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Hot Springs,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Hot Springs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Hot Springs,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Johnson,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Johnson,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Laramie,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Laramie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Laramie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Laramie,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Laramie,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Laramie,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Laramie,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Laramie,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Lincoln,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Lincoln,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Lincoln,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wyoming,Lincoln,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Lincoln,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Lincoln,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wyoming,Natrona,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Natrona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Natrona,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Natrona,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Wyoming,Niobrara,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Niobrara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Niobrara,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Niobrara,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Niobrara,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Park,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Park,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Park,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Park,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Park,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Platte,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Platte,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Platte,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Platte,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Sheridan,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Sheridan,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Wyoming,Sublette,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Sublette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Sublette,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Sweetwater,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Sweetwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Sweetwater,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Sweetwater,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wyoming,Sweetwater,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wyoming,Teton,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Teton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Teton,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Teton,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Teton,UnitedHealthcare,PFFS,UHC MedicareDirect PF-0001 (PFFS),PFFS,No,,Enhanced Alternative,H5435,024,0,,,$45.00 ,$36.00 ,$0.00 ,$36.00 ,$0.00 ,$295.00 ,1,,Yes,3.0,3.0,3.0
Wyoming,Teton,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Teton,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Uinta,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Uinta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Uinta,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Uinta,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Uinta,Aetna Medicare,Local CCP,Aetna Medicare Value Plan (PPO),Local PPO,No,,Enhanced Alternative,H5521,197,0,,,$19.40 ,$34.60 ,$0.00 ,$34.60 ,$0.00 ,$0.00 ,,,Yes,4.5,4.0,4.0
Wyoming,Uinta,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Uinta,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0
Wyoming,Uinta,Aetna Medicare,Local CCP,Aetna Medicare Advantra Select (HMO-POS),HMOPOS,No,,Enhanced Alternative,H8649,008,0,,,$0.00 ,$22.00 ,$0.00 ,$22.00 ,$0.00 ,$0.00 ,,,Yes,3.5,3.5,3.5
Wyoming,Washakie,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Washakie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Washakie,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Weston,UnitedHealthcare,Local CCP,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H0271,042,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,4.5,4.0
Wyoming,Weston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0001 (PPO),Local PPO,No,,Enhanced Alternative,H1889,016,0,,,$0.00 ,$31.00 ,$0.00 ,$31.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Weston,UnitedHealthcare,Local CCP,AARP Medicare Advantage from UHC WY-0002 (PPO),Local PPO,No,,Enhanced Alternative,H1889,017,0,,,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,,,Yes,4.5,4.5,4.5
Wyoming,Weston,Medica,1876 Cost,Medica Prime Solution Thrift w/Rx (Cost),1876 Cost,No,,Basic Alternative,H2450,007,0,,Yes,,$36.70 ,$0.00 ,$36.70 ,$0.00 ,$545.00 ,,,,3.5,4.5,4.0
Wyoming,Weston,Medica,1876 Cost,Medica Prime Solution Standard w/Rx (Cost),1876 Cost,No,,Enhanced Alternative,H2450,049,0,,,,$18.30 ,$31.00 ,$49.30 ,$31.00 ,$0.00 ,,,,3.5,4.5,4.0
Wyoming,Weston,Humana,Local CCP,HumanaChoice H5216-048 (PPO),Local PPO,No,,Defined Standard Benefit,H5216,048,0,,,$147.20 ,$52.80 ,$0.00 ,$52.80 ,$12.20 ,$545.00 ,,,,4.5,4.0,4.5
Wyoming,Weston,Humana,Local CCP,HumanaChoice H5525-052 (PPO),Local PPO,No,,Enhanced Alternative,H5525,052,0,,,$24.00 ,$0.00 ,$0.00 ,$0.00 ,$0.00 ,$275.00 ,1,,Yes,4.0,3.5,4.0
Wyoming,Weston,Humana,Local CCP,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Yes,Dual-Eligible,Defined Standard Benefit,H5525,053,0,,Yes,$0.00 ,$42.20 ,$0.00 ,$42.20 ,$0.00 ,$545.00 ,,,,4.0,3.5,4.0